person
Dr. Peter J Wiebenga, MD
General Practice Physician in Holland, Michigan
NPI 1225003825

Peter J Wiebenga is a General Practice Physician based in Holland, MI. Peter J Wiebenga practices in Holland, MI and has the professional credentials of MD. The NPI Number for Peter J Wiebenga is 1225003825 and holds a License No. 4301032024 (Michigan).

The current practice location address for Peter J Wiebenga is 175 S Waverly Rd, Holland, MI and can be reached out via phone at 616-392-5222 and via fax at 616-392-3635. You can also correspond with Peter J Wiebenga through the mailing address at 175 S WAVERLY RD, HOLLAND, MI - 49423-7907 (mailing address contact number: 616-392-5222).

Location: 175 S Waverly Rd, Holland, MI, 49423-7907
person
Provider Profile Details
NPI Number
1225003825
Provider Name
Peter J Wiebenga
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
175 S Waverly Rd, Holland, MI, 49423-7907
Phone Number
616-392-5222
Fax Number
616-392-3635
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P32249 01 MI PJW BCN
4301032024 01 MI PJW STATE
PW032024 01 MI PJW BCBSMI
institution
Provider Business Practice Location Address Details
Address
175 S Waverly Rd
City
State
Zip
49423-7907
Phone Number
616-392-5222
Fax Number
616-392-3635
person
Provider Business Mailing Address Details
Address
175 S Waverly Rd
City
State
Zip
49423-7907
Phone Number
616-392-5222
Fax Number
616-392-3635
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301032024 (Michigan)
Definition
Definition to come...
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