Individual
DR. KATELYN TRIERWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
550 CHERRY ST SE, GRAND RAPIDS, MI 49503-4748
(616) 235-7289
Mailing address
550 CHERRY ST SE, GRAND RAPIDS, MI 49503-4748
(616) 235-7289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020961
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558459164
—
MI
Enumeration date
06/04/2013
Last updated
12/04/2014
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