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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KELLY WIERSEMA, MD

Active

DR. KELLY WIERSEMA, MD is a Obstetrics & Gynecology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1902023575 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · GRAND RAPIDS, MI

Registration Details

NPI Number
1902023575
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2007 (19.350683642371 yrs)
Last Updated
Oct 10, 2016
License
4301086392 (MI)

Practice Information

Address
200 JEFFERSON AVE SE
GRAND RAPIDS, MI, 495034502
Browse MI providers · Browse ZIP 49503
Phone
6166856501
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. PETER MARKS MD 1811991581
DR. ANDREA C WOLFE MD 1043214794
MICHELLE A KLYN MD 1235133992
JERRY WITTINGEN M.D 1477557031
CALVIN LEAZENBY M.D 1588668248
MICHELLE BACKUS-WALZER M.D. 1124011531
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.