DAVID MAZUR

GRAND RAPIDS, MI
NPI1134114895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  5101009144)
Enumeration Date2005-09-19
Last Update Date2010-09-13
Business Address
-- DAVID MAZUR DO
1055 MEDICAL PARK DR SE
GRAND RAPIDS, MI 49546-3671
Phone number: 800-968-6866
Mailing Address
-- DAVID MAZUR DO
PO BOX 1969
GRAND RAPIDS, MI 49501-1969
Phone number: 800-968-6866
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