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1356426712
MARK A FREDRICKSON
GRAND RAPIDS, MI
NPI
1356426712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI MF048876)
Enumeration Date
2006-10-26
Last Update Date
2024-10-08
Business Address
Dr. MARK A FREDRICKSON MD
3299 CLEAR VISTA CT NE SUITE C
GRAND RAPIDS, MI 49525
Phone number: 616-361-1200
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Mailing Address
Dr. MARK A FREDRICKSON MD
5514 PRESERVE CT
BELMONT, MI 49306-8510
Phone number:
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