ELIZABETH JEAN WIERENGA

JACKSON, MI
NPI1760951321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies363A00000X Physician Assistant
(Licence: MI  5601010978)
Enumeration Date2018-11-13
Last Update Date2022-05-25
Business Address
ELIZABETH JEAN WIERENGA PA-C
875 LAURENCE AVE
JACKSON, MI 49202-2966
Phone number: 517-787-0544
Mailing Address
ELIZABETH JEAN WIERENGA PA-C
7883 SEARS RD
HORTON, MI 49246-9513
Phone number: 517-563-2072