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1760555692
BRUCE A MICKELSON
GRAND RAPIDS, MI
NPI
1760555692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 11496)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. BRUCE A MICKELSON DDS
976 3 MILE RD NW
GRAND RAPIDS, MI 49544
Phone number: 616-784-4038
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Mailing Address
Dr. BRUCE A MICKELSON DDS
976 3 MILE RD NW
GRAND RAPIDS, MI 49544
Phone number: 616-784-4038
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