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1659713824
CHARLES J ZICKUS DO PLC
MUSKEGON, MI
NPI
1659713824
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Entity Type
Organization
Authorized Contact
CHARLES J ZICKUS
Plc
231-728-5858
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5101012689)
Enumeration Date
2013-07-29
Last Update Date
2013-07-29
Business Address
CHARLES J ZICKUS DO PLC
1700 CLINTON ST
MUSKEGON, MI 49442-5502
Phone number: 231-728-5858
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Mailing Address
CHARLES J ZICKUS DO PLC
4045 ANTIGO CT SW
GRANDVILLE, MI 49418-3145
Phone number: 616-532-2640
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