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1164478509
SAM GIOVANNUCCI
GRAND RAPIDS, MI
NPI
1164478509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301056230)
Enumeration Date
2006-05-26
Last Update Date
2021-03-04
Business Address
SAM GIOVANNUCCI MD
4069 LAKE DR SE SUITE 117
GRAND RAPIDS, MI 49546-8816
Phone number: 616-726-8700
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Mailing Address
SAM GIOVANNUCCI MD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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