ALEXANDER JOSEPH LAKE

GRAND RAPIDS, MI
NPI1255860789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0207X Pediatrics Pediatric Hematology-Oncology
(Licence: MI  5101025698)
Enumeration Date2017-06-08
Last Update Date2024-08-06
Business Address
ALEXANDER JOSEPH LAKE DO
100 MICHIGAN ST NE FL 10
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-1925
Mailing Address
ALEXANDER JOSEPH LAKE DO
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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