Individual
DR. CLARE ROYCE VAN WIEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901009802
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2980529
—
MI
05
—
4062988
—
MI
01
—
9757063760
BCBS MEDICAL NUMBER
MI
01
—
D098020
BCBS DENTAL NUMBER
MI
Enumeration date
12/02/2005
Last updated
07/13/2026
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