Dr. Kevin G Wolschleger, M.D.
Internal Medicine, Interventional Cardiology in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1790766640
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1790766640
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin G Wolschleger
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2005
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 4301048350 | MI | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 4301048350 | MI |
Practice location
2900 Bradford St NeGrand Rapids, MI 49525-6427
Phone 616-885-5000 · Fax 616-885-5020
Mailing address
100 Michigan St NeMc 845
Grand Rapids, MI 49503-2560
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