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1467182568
ROMAN PERMYAKOV
GRAND BLANC, MI
NPI
1467182568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5151015641)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
Dr. ROMAN PERMYAKOV DO
1 GENESYS PKWY GRAND BLANC
GRAND BLANC, MI 48439
Phone number: 810-606-5000
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Mailing Address
Dr. ROMAN PERMYAKOV DO
15995 S STURGEON DR
OLATHE, KS 66062-7121
Phone number: 913-484-6070
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