DENNIS LAKE

GRAND RAPIDS, MI
NPI1700986205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MI  4301039973)
Enumeration Date2006-09-24
Last Update Date2007-07-08
Business Address
-- DENNIS LAKE M.D.
710 KENMOOR AVE SE SUITE 110
GRAND RAPIDS, MI 49546-2379
Phone number: 616-949-6112
Mailing Address
-- DENNIS LAKE M.D.
710 KENMOOR AVE SE SUITE 110
GRAND RAPIDS, MI 49546-2379
Phone number: 616-949-6112
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