Individual
MADELYN WILTSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, QIDP
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 666-4357
Mailing address
750 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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