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1023416351
MARY VANDERWERP
GRAND RAPIDS, MI
NPI
1023416351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007241)
Enumeration Date
2014-12-19
Last Update Date
2021-02-17
Business Address
MARY VANDERWERP PA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3431
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Mailing Address
MARY VANDERWERP PA
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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