KEVIN WIERSUM, PAC
Physician Assistant - Surgical
Active
Individual
NPI: 1699762765
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 5601004099 (MI) |
Frequently Asked Questions
NPI 1699762765 is the National Provider Identifier for KEVIN WIERSUM, PAC, a Physician Assistant - Surgical provider located in Grand Rapids, MI. This NPI was enumerated on October 4, 2005.
KEVIN WIERSUM, PAC practices at 1111 LEFFINGWELL AVE NE, STE 100, Grand Rapids, MI 49525.
Quick Facts
- NPI
- 1699762765
- Type
- Individual
- Enumerated
- Oct 4, 2005
- Last Updated
- Sep 18, 2013
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