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1114970126
GERALD SCOTT WITHERELL
GRAND RAPIDS, MI
NPI
1114970126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301070459)
Enumeration Date
2006-05-19
Last Update Date
2022-09-30
Business Address
GERALD SCOTT WITHERELL MD
2155 E PARIS AVE SE STE 220
GRAND RAPIDS, MI 49546-6195
Phone number: 616-685-3100
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Mailing Address
GERALD SCOTT WITHERELL MD
PO BOX 776974
CHICAGO, IL 60677-6974
Phone number: 231-672-2119
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