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1720076581
VENNARALAGAPPAN MAHADEV
IRON MOUNTAIN, MI
NPI
1720076581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: MI 043493)
Enumeration Date
2005-10-06
Last Update Date
2020-01-15
Business Address
DR. VENNARALAGAPPAN MAHADEV MD
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801-3637
Phone number: 906-774-1313
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Mailing Address
DR. VENNARALAGAPPAN MAHADEV MD
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801-3637
Phone number: 906-774-1313
Copy
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