Organization
WILEY-GUNDEN AFC
Active
Organization
WILEY-GUNDEN AFC
Active
Other names
wiley-gunden afc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT RUSSELL WILEY (OWNER)
(989) 588-6769
Entity
Organization
Contact information
Practice address
16 KAPPLINGER DR, FARWELL, MI 48622-9405
(989) 588-6769
Mailing address
PO BOX 129, FARWELL, MI 48622-0129
(989) 588-6769
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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