Individual
MR. CONNOR CHAMBON VIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1971 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-7045
(616) 343-8175
Mailing address
1971 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-7045
(616) 343-8175
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/29/2026
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