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1700986205
DENNIS LAKE
GRAND RAPIDS, MI
NPI
1700986205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301039973)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business 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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Mailing Address
-- DENNIS LAKE M.D.
710 KENMOOR AVE SE SUITE 110
GRAND RAPIDS, MI 49546-2379
Phone number: 616-949-6112
Copy
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