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1609009414
RANDELL CHUA GANCHUA
GRAND RAPIDS, MI
NPI
1609009414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301094295)
Enumeration Date
2009-08-26
Last Update Date
2021-02-26
Business Address
Dr. RANDELL CHUA GANCHUA MD
100 MICHIGAN ST NE SUITE A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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Mailing Address
Dr. RANDELL CHUA GANCHUA MD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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