Peter J Wiebenga in Holland - General Practice
Peter J Wiebenga - NPI 1225003825
Peter J Wiebenga is a General Practice in Holland, Michigan. Peter J Wiebenga practices all healthcare services and medical treatments related to General Practice. The NPI Number for Peter J Wiebenga is 1225003825. The last update date is 2007-07-09.
Peter J Wiebenga's current location address is 175 S Waverly Rd, Holland, Michigan. You can contact this provider via phone number 6163925222 and fax number 6163923635. The mailing address for Peter J Wiebenga is 175 S Waverly Rd, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter J Wiebenga |
|---|---|
| Address | 175 S Waverly Rd, Holland, Michigan |
| Phone Number | 6163925222 |
| Fax Number | 6163923635 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225003825 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 175 S Waverly Rd |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494237907 |
| Phone Number | 6163925222 |
| Fax Number | 6163923635 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 4301032024 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P32249 | MI | PJW BCN | |
| 4301032024 | MI | PJW STATE | |
| PW032024 | MI | PJW BCBSMI |
Post Comment/ Review Below
What is the unique identifier code issued to Peter J Wiebenga by the Centers for Medicare & Medicaid Services (CMS)?
The Peter J Wiebenga has been assigned the NPI (National Provider Identifier) 1225003825. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Peter J Wiebenga's facilities are situated?
The facilities of Peter J Wiebenga are physically located at the following address: 175 S Waverly Rd, Holland, MI, 494237907.
What is Peter J Wiebenga's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Peter J Wiebenga is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date was the 1225003825 assigned to Peter J Wiebenga?
The Peter J Wiebenga was issued its 1225003825 on 2006-02-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Peter J Wiebenga, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter J Wiebenga, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.