Individual
MRS. SARAH ELIZABETH WIERENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1360
Mailing address
12986 144TH AVE, GRAND HAVEN, MI 49417-9140
(231) 724-1360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287489
MI
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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