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1740252766
MITCHELL H DEJONGE
GRAND RAPIDS, MI
NPI
1740252766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: MI 4301065196)
Enumeration Date
2006-02-03
Last Update Date
2011-06-13
Business Address
MITCHELL H DEJONGE MD
100 MICHIGAN ST NE MC 845 ATTN
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1714
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Mailing Address
MITCHELL H DEJONGE MD
100 MICHIGAN ST NE MC 035
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1714
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