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1699731299
MICHAEL A HENDERSON
GRAND RAPIDS, MI
NPI
1699731299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 5101009653)
Enumeration Date
2006-04-22
Last Update Date
2018-09-12
Business Address
MICHAEL A HENDERSON DO
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7339
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Mailing Address
MICHAEL A HENDERSON DO
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7339
Copy
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