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1164494878
BENEDICT A DOCTOR
GRAND RAPIDS, MI
NPI
1164494878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MI 4301075630)
Enumeration Date
2006-02-06
Last Update Date
2011-03-21
Business Address
-- BENEDICT A DOCTOR MD
100 MICHIGAN ST NE MC 035
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1714
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Mailing Address
-- BENEDICT A DOCTOR MD
100 MICHIGAN ST NE MC 035
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1714
Copy
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