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1568414225
MERLE KOOPS
GRAND RAPIDS, MI
NPI
1568414225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003046)
Enumeration Date
2006-05-17
Last Update Date
2009-07-01
Business Address
-- MERLE KOOPS PA-C
200 JEFFERSON AVE SE 6 SOUTH #626
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5039
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Mailing Address
-- MERLE KOOPS PA-C
245 STATE ST SE
GRAND RAPIDS, MI 49503-4328
Phone number: 616-685-1808
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