DR. Gerald E. Van Wieren, M.D.

NPI #1780682252 in Grant, Michigan

Provider Information

NPI Number: 1780682252
Entity Type: Individual
Name: DR. Gerald E. Van Wieren, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 8, 2005
Last Updated: Feb 3, 2012

Practice Location

Address: 71 S FRONT ST
City: Grant
State: Michigan
ZIP Code: 49327-9701
Phone: (231) 834-5676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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Organizations

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