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1043285489
THOMAS R SHAW
GRAND RAPIDS, MI
NPI
1043285489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MI 4301044306)
Enumeration Date
2006-02-21
Last Update Date
2008-07-28
Business Address
-- THOMAS R SHAW MD
100 MICHIGAN ST NE MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1714
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Mailing Address
-- THOMAS R SHAW MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number:
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