Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Mar 4, 2024
License(s)
4351054341 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 275 MICHIGAN ST NE FL 9 | Grand Rapids, MI 49503-2531 | 616-391-6243 |
| MAILING | 275 MICHIGAN ST NE FL 9 | Grand Rapids, MI 49503-2531 |
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