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1144212788
KENNETH W BOLLIN
SAINT CLAIR SHORES, MI
NPI
1144212788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301041272)
Enumeration Date
2005-08-19
Last Update Date
2014-02-18
Business Address
-- KENNETH W BOLLIN MD
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080-3200
Phone number: 586-777-2050
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Mailing Address
-- KENNETH W BOLLIN MD
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080-3200
Phone number: 586-777-2050
Copy
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