| Gerald Van Wieren, M.D., P.C. | |
|
71 S Front St Grant MI 49327 | |
| (231) 834-5676 | |
| (231) 834-7211 |
| Full Name | Gerald Van Wieren, M.D., P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 71 S Front St, Grant, Michigan |
| Authorized Official Name and Position | Suzanne Martha Vanwieren (OFFICE MANAGER) |
| Authorized Official Contact | 2318345676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Van Wieren, M.D., P.C. 71 S Front St Grant MI 49327 Ph: (231) 834-5676 | Gerald Van Wieren, M.D., P.C. 71 S Front St Grant MI 49327 Ph: (231) 834-5676 |
| NPI Number | 1740431832 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740431832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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