Individual
DR. JOHN ARLEN WEIDENFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4298 CASCADE RD SE, GRAND RAPIDS, MI 49546-8301
(616) 942-7050
(616) 942-7146
Mailing address
4298 CASCADE RD SE, GRAND RAPIDS, MI 49546-8301
(616) 942-7050
(616) 942-7146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014826
MI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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