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1255502605
JOHN R VYDARENY MD PC
GRAND RAPIDS, MI
NPI
1255502605
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Entity Type
Organization
Authorized Contact
JOHN R VYDARENY
Owner
616-459-1144
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MI JV028722)
Enumeration Date
2008-03-13
Last Update Date
2008-04-17
Business Address
JOHN R VYDARENY MD PC
1900 WEALTHY ST SE
GRAND RAPIDS, MI 49506-2969
Phone number: 616-459-1144
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Mailing Address
JOHN R VYDARENY MD PC
1900 WEALTHY ST SE
GRAND RAPIDS, MI 49506-2969
Phone number: 616-459-1144
Copy
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