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1871112904
MATTHEW CHARLES WIDEMAN
IONIA, MI
NPI
1871112904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704287664NSA2001O)
Enumeration Date
2020-04-09
Last Update Date
2020-04-09
Business Address
Dr. MATTHEW CHARLES WIDEMAN DNP, RN, AGNP-C
1727 W BLUEWATER HWY
IONIA, MI 48846-8647
Phone number: 616-527-2510
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Mailing Address
Dr. MATTHEW CHARLES WIDEMAN DNP, RN, AGNP-C
1727 W BLUEWATER HWY
IONIA, MI 48846-8647
Phone number: 616-460-0071
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