| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 1456498898 |
|---|---|
| Medicare Enrollment ID | O20091016000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740431832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerald E Vanwieren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780682252 PECOS PAC ID: 6901943349 Enrollment ID: I20091016000476 |
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