Individual
DR. KEVIN GEORGE WIECZERZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4075 STONE SCHOOL RD, ANN ARBOR, MI 48108-9723
(734) 971-2200
(734) 971-2555
Mailing address
4075 STONE SCHOOL RD, ANN ARBOR, MI 48108-9723
(734) 971-2200
(734) 971-2555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022021
MI
Other
Enumeration date
09/01/2016
Last updated
11/30/2022
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