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1073007159
MICHAEL LANE
BAY CITY, MI
NPI
1073007159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101024023)
Enumeration Date
2018-06-21
Last Update Date
2019-05-23
Business Address
MICHAEL LANE
1900 COLUMBUS AVE
BAY CITY, MI 48708
Phone number: 989-895-4671
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Mailing Address
MICHAEL LANE
1900 COLUMBUS AVE
BAY CITY, MI 48708-6831
Phone number: 989-895-4671
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