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1316913874
DAVID H DEITRICK
MUSKEGON, MI
NPI
1316913874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301036496)
Enumeration Date
2006-02-24
Last Update Date
2011-02-07
Business Address
-- DAVID H DEITRICK MD
3535 PARK ST SUITE 110
MUSKEGON, MI 49444-3736
Phone number: 231-733-3155
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Mailing Address
-- DAVID H DEITRICK MD
PO BOX 1848
MUSKEGON, MI 49443-1848
Phone number: 231-727-4444
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