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1114234325
TIMOTHY A KRAGT
GRAND RAPIDS, MI
NPI
1114234325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005832)
Enumeration Date
2010-09-09
Last Update Date
2015-10-14
Business Address
-- TIMOTHY A KRAGT MS, PA-C
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
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Mailing Address
-- TIMOTHY A KRAGT MS, PA-C
3264N EVERGREEN NEDR
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7339
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