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1740442219
BALAJI VUTLA
GRAND RAPIDS, MI
NPI
1740442219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301100194)
Enumeration Date
2008-06-26
Last Update Date
2024-08-07
Business Address
BALAJI VUTLA M.D., M.P.H.
100 MICHIGAN ST NE # A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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Mailing Address
BALAJI VUTLA M.D., M.P.H.
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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