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1508050311
BRUCE G DECKINGA
PETOSKEY, MI
NPI
1508050311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MI mi43030312)
Enumeration Date
2007-09-05
Last Update Date
2008-08-20
Business Address
-- BRUCE G DECKINGA MD
8872 DEER RUN
PETOSKEY, MI 49770-8593
Phone number: 231-347-7681
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Mailing Address
-- BRUCE G DECKINGA MD
8872 DEER RUN
PETOSKEY, MI 49770-8593
Phone number: 231-347-7681
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