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1043391154
MARC ALLEN BUSH
GRAND RAPIDS, MI
NPI
1043391154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601001779)
Enumeration Date
2006-10-17
Last Update Date
2013-01-08
Business Address
Mr. MARC ALLEN BUSH PA
100 MICHIGAN ST. NW SUITE A721
GRAND RAPIDS, MI 49503
Phone number: 616-974-4493
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Mailing Address
Mr. MARC ALLEN BUSH PA
100 MICHIGAN STREET NW SUITE A721
GRAND RAPIDS, MI 49503
Phone number: 616-974-4493
Copy
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