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1215547781
SAMUEL JAMES STURDEVANT
WYOMING, MI
NPI
1215547781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010052)
Enumeration Date
2020-08-08
Last Update Date
2022-11-29
Business Address
SAMUEL JAMES STURDEVANT PA
6105 WILSON AVE SW STE 204
WYOMING, MI 49418-9714
Phone number: 616-486-5421
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Mailing Address
SAMUEL JAMES STURDEVANT PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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