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1285006700
ANNA K WELLER
GRAND RAPIDS, MI
NPI
1285006700
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Former Name
ANNA K KOSIDOWSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704342992)
Enumeration Date
2015-10-23
Last Update Date
2018-08-13
Business Address
Mrs. ANNA K WELLER PNP-AC
25 MICHIGAN ST NE STE 4200
GRAND RAPIDS, MI 49503
Phone number: 616-267-9150
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Mailing Address
Mrs. ANNA K WELLER PNP-AC
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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