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1720427404
DAVID CHARLES HENDERSON
GRAND RAPIDS, MI
NPI
1720427404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301102998)
Enumeration Date
2013-06-17
Last Update Date
2016-08-02
Business Address
-- DAVID CHARLES HENDERSON M.D.
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-6830
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Mailing Address
-- DAVID CHARLES HENDERSON M.D.
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number: 616-685-1808
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