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1124100508
JOHN RICHARD PARKER
GRAND RAPIDS, MI
NPI
1124100508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003563)
Enumeration Date
2006-10-19
Last Update Date
2021-02-25
Business Address
JOHN RICHARD PARKER PA-C
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546-8292
Phone number: 616-391-3759
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Mailing Address
JOHN RICHARD PARKER PA-C
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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