Organization
GERALD VAN WIEREN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE MARTHA VANWIEREN M.N (OFFICE MANAGER)
(231) 834-5676
Entity
Organization
Contact information
Practice address
71 S FRONT ST, GRANT, MI 49327
(231) 834-5676
(231) 834-7211
Mailing address
71 S FRONT ST, GRANT, MI 49327
(231) 834-5676
(231) 834-7211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
09/16/2009
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