Individual
MICAH VANDER WIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 7TH ST SW APT 1, ORANGE CITY, IA 51041-1515
(505) 412-8787
Mailing address
507 7TH ST SW APT 1, ORANGE CITY, IA 51041-1515
(505) 412-8787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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