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1477557031
JERRY WITTINGEN
GRAND RAPIDS, MI
NPI
1477557031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4301036869)
Enumeration Date
2005-06-10
Last Update Date
2009-09-30
Business Address
-- JERRY WITTINGEN M.D
555 MIDTOWNE ST NE SUITE 302
GRAND RAPIDS, MI 49503
Phone number: 616-391-3315
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Mailing Address
-- JERRY WITTINGEN M.D
555 MIDTOWNE ST NE SUITE 302
GRAND RAPIDS, MI 49503
Phone number: 616-391-3315
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