Individual
DR. MARIJKE HELENE WIERSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3167 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-1475
(616) 241-1626
Mailing address
3167 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-1475
(616) 241-1626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13213
MI
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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