David Edward Tiesma
ActiveMichigan license 4301106108
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301106108
- Status
- Active
- First issued
- February 14, 2018
- Expires
- February 14, 2028
- License holder
- David Edward Tiesma
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons
Contact
275 Michigan St NE
Mc 093
Grand Rapids, MI 49503
Mc 093
Grand Rapids, MI 49503
Kent County