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1538489828
RANDALL W. GREEN MD PC
GRAND RAPIDS, MI
NPI
1538489828
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Entity Type
Organization
Authorized Contact
RANDALL WILLIAM GREEN
President
616-774-8200
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-06-09
Last Update Date
2010-06-09
Business Address
RANDALL W. GREEN MD PC
4070 LAKE DR SE STE 201
GRAND RAPIDS, MI 49546-8294
Phone number: 616-774-8200
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Mailing Address
RANDALL W. GREEN MD PC
4070 LAKE DR SE STE 201
GRAND RAPIDS, MI 49546-8294
Phone number: 616-774-8200
Copy
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