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1073531869
ROGER W. EDVENSON
GRAND RAPIDS, MI
NPI
1073531869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4301047210)
Enumeration Date
2006-07-18
Last Update Date
2011-06-07
Business Address
Dr. ROGER W. EDVENSON M.D.
555 MIDTOWNE STREET NE SUITE 400
GRAND RAPIDS, MI 49503-5731
Phone number: 616-588-1200
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Mailing Address
Dr. ROGER W. EDVENSON M.D.
555 MIDTOWNE STREET NE SUITE 400
GRAND RAPIDS, MI 49503-5731
Phone number: 616-588-1200
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