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1255323309
ETHAN S. VANTIL
TRAVERSE CITY, MI
NPI
1255323309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301076955)
Enumeration Date
2005-08-16
Last Update Date
2011-10-20
Business Address
-- ETHAN S. VANTIL M. D.
3537 W FRONT ST SUITE I
TRAVERSE CITY, MI 49684-7943
Phone number: 231-935-8950
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Mailing Address
-- ETHAN S. VANTIL M. D.
3537 W FRONT ST SUITE I
TRAVERSE CITY, MI 49684-7943
Phone number: 231-935-8950
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