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1710373139
JORDAN T SHAW
GRAND RAPIDS, MI
NPI
1710373139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 4301501177)
Enumeration Date
2015-04-13
Last Update Date
2020-07-27
Business Address
JORDAN T SHAW M.D.
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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Mailing Address
JORDAN T SHAW M.D.
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Copy
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