Individual
DANIELLE E WILDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 391-3777
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301512436
MI
208M00000X
Hospitalist Physician
Primary
4301512436
MI
Other
Enumeration date
04/21/2021
Last updated
02/03/2025
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