| Laina Wirgau | |
|
6157 Woodfield Pl Se Apt 9 Grand Rapids MI 49548-8585 | |
| (616) 558-5531 | |
| Not Available |
| Full Name | Laina Wirgau |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6157 Woodfield Pl Se Apt 9, Grand Rapids, Michigan |
| Authorized Official Name and Position | Laina Wirgau (THERAPIST) |
| Authorized Official Contact | 6165585531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laina Wirgau 1115 Ball Ave Ne Bldg A Grand Rapids MI 49505-5904 Ph: (616) 558-5531 | Laina Wirgau 6157 Woodfield Pl Se Apt 9 Grand Rapids MI 49548-8585 Ph: (616) 558-5531 |
| NPI Number | 1669815650 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 04/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669815650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 680194489 (Michigan) | Primary |
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