RICHARD ROODBERGEN

GRAND BLANC, MI
NPI1538191176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003058)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
-- RICHARD ROODBERGEN P.A.
3452 GENESYS PKWY
GRAND BLANC, MI 48439-7334
Phone number: 810-603-0170
Mailing Address
-- RICHARD ROODBERGEN P.A.
3640 GENESYS PKWY
GRAND BLANC, MI 48439-8070
Phone number: 810-603-0170
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