Individual
ANGELA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
537 VAN ALLEN ST SE, GRAND RAPIDS, MI 49548-1229
(616) 304-2036
Mailing address
537 VAN ALLEN ST SE, GRAND RAPIDS, MI 49548-1229
(616) 304-2036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704288361
MI
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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