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1154340735
CHARLES R LUTTENTON
GRAND RAPIDS, MI
NPI
1154340735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301041929)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Dr. CHARLES R LUTTENTON MD
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7272
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Mailing Address
Dr. CHARLES R LUTTENTON MD
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7272
Copy
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