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Specialty details in registry · Wyoming, MI

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At a glance

1535 44Th St Sw, Wyoming, MI 49509-4481

NPPES record updated Mar 6, 2008. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1535 44Th St Sw
Wyoming, MI 49509-4481
Professional details: NPI, taxonomy & registry record
NPI1760652697
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QP2000X
Enumeration date
Mar 6, 2008
Record updated
Mar 6, 2008
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QP2000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1535 44Th St Sw
Wyoming, MI 49509-4481
Phone
(616) 530-1977
Mailing address
1535 44TH ST SW

WYOMING, MI 495094481
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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