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1326125576
MARY B BROECKERT
GRAND RAPIDS, MI
NPI
1326125576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301043572)
Enumeration Date
2006-11-01
Last Update Date
2007-07-09
Business Address
-- MARY B BROECKERT MD
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-6220
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Mailing Address
-- MARY B BROECKERT MD
100 MICHIGAN ST NE MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503-2560
Phone number:
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