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1710975156
JAMES R ELLIS
GRAND RAPIDS, MI
NPI
1710975156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI 4301058854)
Enumeration Date
2005-10-10
Last Update Date
2013-01-29
Business Address
-- JAMES R ELLIS MD
1111 LEFFINGWELL AVE NE STE 100
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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Mailing Address
-- JAMES R ELLIS MD
1111 LEFFINGWELL AVE NE STE 100
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Copy
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