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1760898563
CODY MARTIN KNUPPENBURG
GRAND BLANC, MI
NPI
1760898563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101021408)
Enumeration Date
2014-07-01
Last Update Date
2014-07-01
Business Address
CODY MARTIN KNUPPENBURG D.O.
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 810-606-5126
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Mailing Address
CODY MARTIN KNUPPENBURG D.O.
11294 GRAND OAK DR APT 8
GRAND BLANC, MI 48439-1250
Phone number: 616-990-2795
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