Gerald Van Wieren, M.d., P.c.

NPI #1740431832 in Grant, Michigan

Provider Information

NPI Number: 1740431832
Entity Type: Organization
Organization Name: Gerald Van Wieren, M.d., P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 7, 2008
Last Updated: Sep 16, 2009

Practice Location

Address: 71 S FRONT ST
City: Grant
State: Michigan
ZIP Code: 49327
Phone: (231) 834-5676

Authorized Official

Name: MRS. SUZANNE MARTHA VANWIEREN, M.N
Title: OFFICE MANAGER
Phone: (231) 834-5676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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