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1093828121
GREGOR F BENNETT
GRAND RAPIDS, MI
NPI
1093828121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002104)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
-- GREGOR F BENNETT PA
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-6220
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Mailing Address
-- GREGOR F BENNETT PA
100 MICHIGAN ST NE MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503-2560
Phone number:
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