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1720019383
WILLIAM R BACK
GARDEN CITY, MI
NPI
1720019383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: MI WB006125)
Enumeration Date
2006-07-05
Last Update Date
2011-04-07
Business Address
WILLIAM R BACK DO
30626 FORD RD
GARDEN CITY, MI 48135-1870
Phone number: 734-261-9211
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Mailing Address
WILLIAM R BACK DO
30626 FORD RD
GARDEN CITY, MI 48135-1870
Phone number: 734-261-9211
Copy
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