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1366495285
BRAD E VAZALES
PETOSKEY, MI
NPI
1366495285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MI 4301073933)
Enumeration Date
2006-05-19
Last Update Date
2009-10-20
Business Address
BRAD E VAZALES M.D.
2390 MITCHELL PARK DR SUITE B
PETOSKEY, MI 49770-8965
Phone number: 231-487-9090
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Mailing Address
BRAD E VAZALES M.D.
2390 MITCHELL PARK DR SUITE B
PETOSKEY, MI 49770-8965
Phone number: 231-487-9090
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