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1225099161
FRED NEAL DAVIS
GRAND RAPIDS, MI
NPI
1225099161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: MI 4301043532)
Enumeration Date
2006-03-30
Last Update Date
2012-05-03
Business Address
-- FRED NEAL DAVIS MD
2060 E PARIS AVE SE SUITE 200
GRAND RAPIDS, MI 49546-6113
Phone number: 616-285-1377
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Mailing Address
-- FRED NEAL DAVIS MD
61 COMMERCE AVE SW
GRAND RAPIDS, MI 49503-4124
Phone number: 616-940-0660
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