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1003896382
COLLIER S WIESE
KALAMAZOO, MI
NPI
1003896382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002503)
Enumeration Date
2006-01-20
Last Update Date
2011-06-01
Business Address
-- COLLIER S WIESE PA-C
1541 GULL RD SUITE 200
KALAMAZOO, MI 49048-1639
Phone number: 269-343-1264
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Mailing Address
-- COLLIER S WIESE PA-C
1541 GULL RD SUITE 200
KALAMAZOO, MI 49048-1639
Phone number: 269-343-1264
Copy
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