THOMAS PROVO PFOTENHAUER

HOLLAND, MI
NPI1457796229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  5101020364)
Enumeration Date2013-05-06
Last Update Date2016-06-17
Business Address
Dr. THOMAS PROVO PFOTENHAUER D.O.
602 MICHIGAN AVE
HOLLAND, MI 49423-4918
Phone number: 616-355-3896
Mailing Address
Dr. THOMAS PROVO PFOTENHAUER D.O.
602 MICHIGAN AVE
HOLLAND, MI 49423-4918
Phone number: 616-355-3896
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