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KEVIN WIERSUM, PAC

PAC

Surgical Physician Assistant

NPI: 1699762765IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

5601004099(MI)

CMS Specialties

Education

OTHER

Class of 2003

Contact & Hours

Address
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525

Quick Facts

NPI
1699762765
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
23

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