Individual provider · Type 1 NPI
Lourens J. Willekes, MD
General Practice Physician · Grand Rapids, MI
NPI number
1124123476
Active
Practice location
751 Lafeyette NW
Grand Rapids, MI 49503
Fax (616) 742-9967
Mailing address
2218 N Thrush Ct SE
Grand Rapids, MI 49546-7525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 4301080880 (MI) |
General Practice Physician: 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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About NPI 1124123476
Lourens J. Willekes, MD's National Provider Identifier is 1124123476, issued on Sep 13, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.