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Contact Information

LOURENS J WILLEKES, MD
751 LAFEYETTE NW
GRAND RAPIDS, MI49503
 Phone: 616-742-9945
 Fax: 616-742-9967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for LOURENS J WILLEKES · (Male)

NPI Number 1124123476
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301080880
  • MI Medicaid 4507446
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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