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1356481493
LAKESIDE ENT, P.C.
HOLLAND, MI
NPI
1356481493
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Entity Type
Organization
Authorized Contact
PETER J VANDERMEER
Treasurer
616-393-2190
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2007-02-07
Last Update Date
2009-12-18
Business Address
LAKESIDE ENT, P.C.
577 MICHIGAN AVE SUITE 101
HOLLAND, MI 49423-4911
Phone number: 616-393-2190
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Mailing Address
LAKESIDE ENT, P.C.
577 MICHIGAN AVE SUITE 101
HOLLAND, MI 49423-4911
Phone number: 616-393-2190
Copy
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