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1902023575
KELLY WIERSEMA
GRAND RAPIDS, MI
NPI
1902023575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4301086392)
Enumeration Date
2007-04-18
Last Update Date
2016-10-10
Business Address
Dr. KELLY WIERSEMA MD
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-6501
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Mailing Address
Dr. KELLY WIERSEMA MD
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number:
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