Individual provider · Type 1 NPI

Brooke Elizabeth Wietharn, MD

Surgery Physician · Grand Rapids, MI

NPI number 1689419087 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Call (616) 685-6922 Map

Fax (616) 685-5101

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X4351055055 (MI)
Surgery Physician Primary 208600000X2024025232 (MO)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1689419087

Brooke Elizabeth Wietharn, MD's National Provider Identifier is 1689419087, issued on Jun 27, 2024. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 9, 2026.