CLARA VANDERWEIDE

GRAND RAPIDS, MI
NPI1558744797
Former NameCLARA DEJONGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704293832)
Enumeration Date2015-07-07
Last Update Date2015-07-07
Business Address
-- CLARA VANDERWEIDE
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503-4920
Phone number: 616-685-8400
Mailing Address
-- CLARA VANDERWEIDE
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number: