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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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