Brooke Elizabeth Wietharn
ActiveMichigan license 4351055055
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4351055055
- Status
- Active
- First issued
- May 22, 2025
- Expires
- June 30, 2027
- License holder
- Brooke Elizabeth Wietharn
- Entity type
- Individual
Classifications
- Medical Doctor Ed Ltd (Medicine) Physicians & Surgeons
Contact
3245 Softwater Lake Drive NE
Apt 103
Grand Rapids, MI 49525
Apt 103
Grand Rapids, MI 49525
Kent County