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1336438514
NICHOLAS ALAN VANDENBOSCH
MUSKEGON, MI
NPI
1336438514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101019297)
Enumeration Date
2011-03-28
Last Update Date
2019-03-05
Business Address
NICHOLAS ALAN VANDENBOSCH D.O.
1223 MERCY DR
MUSKEGON, MI 49444-1829
Phone number: 231-672-3177
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Mailing Address
NICHOLAS ALAN VANDENBOSCH D.O.
PO BOX 1847
MUSKEGON, MI 49443-1847
Phone number: 866-611-1512
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