ROLLAND DEAN MAMBOURG

GRAND RAPIDS, MI
NPI1417294620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301039783)
Enumeration Date2013-01-08
Last Update Date2013-01-08
Business Address
Dr. ROLLAND DEAN MAMBOURG MD
200 JEFFERSON AVE SE MEDICAL STAFF OFFICE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-6612
Mailing Address
Dr. ROLLAND DEAN MAMBOURG MD
200 JEFFERSON AVE SE MEDICAL STAFF OFFICE
GRAND RAPIDS, MI 49503-4502
Phone number:
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