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1114953304
STEPHEN M PREFONTAINE
ALLENDALE, MI
NPI
1114953304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101011668)
Enumeration Date
2006-06-23
Last Update Date
2014-03-10
Business Address
Dr. STEPHEN M PREFONTAINE D.O.
4868-2 LAKE MICHIGAN DR
ALLENDALE, MI 49401-7415
Phone number: 616-391-2800
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Mailing Address
Dr. STEPHEN M PREFONTAINE D.O.
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-2800
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