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1730779729
THEODORE MANN ANDERSON
GRAND RAPIDS, MI
NPI
1730779729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-01-22
Last Update Date
2021-01-22
Business Address
THEODORE MANN ANDERSON PA-C
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 866-989-7999
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Mailing Address
THEODORE MANN ANDERSON PA-C
225 HASTINGS ST NE APT 211
GRAND RAPIDS, MI 49503-1526
Phone number: 616-821-4722
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