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1295956951
JULIE RENEE SHANAVER
GRAND RAPIDS, MI
NPI
1295956951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301084221)
Enumeration Date
2007-05-01
Last Update Date
2008-03-04
Business Address
Dr. JULIE RENEE SHANAVER MD
200 JEFFERSON SE
GRAND RAPIDS, MI 49503
Phone number: 616-752-6781
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Mailing Address
Dr. JULIE RENEE SHANAVER MD
PO BOX Q
GRAND RAPIDS, MI 49501-4917
Phone number: 800-968-6866
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