SHANNON LORELLE WIERSMA

GRAND RAPIDS, MI
NPI1316428253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704292413)
Enumeration Date2018-08-28
Last Update Date2022-03-09
Business Address
SHANNON LORELLE WIERSMA NP
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503-2537
Phone number: 616-459-7258
Mailing Address
SHANNON LORELLE WIERSMA NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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