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Individual

ELIZABETH MARY WIELGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1310 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4300
(616) 252-4560
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-4560

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301513230
MI

Other

Enumeration date
07/10/2019
Last updated
02/26/2025
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