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1750399986
KENNETH VANSUMEREN
MIDLAND, MI
NPI
1750399986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003931)
Enumeration Date
2006-08-03
Last Update Date
2012-09-19
Business Address
-- KENNETH VANSUMEREN PA
301 W WACKERLY ST
MIDLAND, MI 48640-2761
Phone number: 989-832-0900
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Mailing Address
-- KENNETH VANSUMEREN PA
301 W WACKERLY ST
MIDLAND, MI 48640-2761
Phone number: 989-832-0900
Copy
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