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1215170766
NISHA SHASTRI BERTUCCI
GRAND RAPIDS, MI
NPI
1215170766
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Former Name
NISHA KAMALESH SHASTRI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4301094756)
Enumeration Date
2009-04-14
Last Update Date
2021-03-04
Business Address
Dr. NISHA SHASTRI BERTUCCI M.D.
330 BARCLAY AVE NE STE 304
GRAND RAPIDS, MI 49503-2527
Phone number: 616-391-2160
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Mailing Address
Dr. NISHA SHASTRI BERTUCCI M.D.
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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