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1073214995
BRIDGET GONGOL
GRAND RAPIDS, MI
NPI
1073214995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MI 4351052871)
Enumeration Date
2023-03-16
Last Update Date
2024-06-25
Business Address
BRIDGET GONGOL MD
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3570
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Mailing Address
BRIDGET GONGOL MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number:
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