EDWARD TANUDJAJA

MUSKEGON, MI
NPI1003499229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  5151015204)
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
EDWARD TANUDJAJA DO
1500 E SHERMAN BLVD
MUSKEGON, MI 49444-1849
Phone number: 231-672-2000
Mailing Address
EDWARD TANUDJAJA DO
18379 WOODLAND RIDGE DR APT 6
SPRING LAKE, MI 49456-8924
Phone number: 925-437-8559
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