Individual
ANNE WETHERBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
656 BATES ST SE, GRAND RAPIDS, MI 49503-5502
(440) 667-1497
Mailing address
656 BATES ST SE, GRAND RAPIDS, MI 49503-5502
(440) 667-1497
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
W 361 067 081 229
MI
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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