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1700414802
SHAWN DAVID MOORE
GRAND RAPIDS, MI
NPI
1700414802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4351046544)
Enumeration Date
2020-04-01
Last Update Date
2023-08-07
Business Address
SHAWN DAVID MOORE MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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Mailing Address
SHAWN DAVID MOORE MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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