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1396745055
PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC
GRAND RAPIDS, MI
NPI
1396745055
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Entity Type
Organization
Authorized Contact
MAREK A STAWISKI
Physician
616-459-8209
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2005-07-26
Last Update Date
2018-03-22
Business Address
PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC
833 MICHIGAN ST NE SUITE 102
GRAND RAPIDS, MI 49503-3523
Phone number: 616-459-8209
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Mailing Address
PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC
833 MICHIGAN ST NE SUITE 102
GRAND RAPIDS, MI 49503-3523
Phone number: 616-459-8209
Copy
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