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1174053458
JORDAN REILLY
GRAND RAPIDS, MI
NPI
1174053458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0102X Surgery Surgical Critical Care
(Licence: MI 4301509594)
Enumeration Date
2017-06-19
Last Update Date
2023-07-31
Business Address
JORDAN REILLY MD
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-1712
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Mailing Address
JORDAN REILLY MD
25859 GLENMOOR
NOVI, MI 48374-2354
Phone number:
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