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1730161555
MARJORIE V FUNTANILLA
IRON MOUNTAIN, MI
NPI
1730161555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine Nephrology
(Licence: MI 4301071282)
Enumeration Date
2005-11-17
Last Update Date
2012-07-10
Business Address
MARJORIE V FUNTANILLA MD
1711 S STEPHENSON AVE SUITE 225
IRON MOUNTAIN, MI 49801-3639
Phone number: 906-776-5860
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Mailing Address
MARJORIE V FUNTANILLA MD
PO BOX 549
IRON MOUNTAIN, MI 49801-0549
Phone number: 906-774-1313
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