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1770070310
MARY VOGEL FREDRICKSON
GRAND RAPIDS, MI
NPI
1770070310
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Former Name
TRAN VOGEL TRAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008498)
Enumeration Date
2018-04-19
Last Update Date
2023-10-19
Business Address
MARY VOGEL FREDRICKSON PA-C
2750 E BELTLINE AVE NE FL 3
GRAND RAPIDS, MI 49525-8614
Phone number: 616-447-5820
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Mailing Address
MARY VOGEL FREDRICKSON PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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