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1770530719
SANDRA WISEBAKER
GRAND RAPIDS, MI
NPI
1770530719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4301051699)
Enumeration Date
2006-05-27
Last Update Date
2018-02-15
Business Address
SANDRA WISEBAKER MD
80 68TH ST SE STE 301
GRAND RAPIDS, MI 49548-6980
Phone number: 616-532-1410
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Mailing Address
SANDRA WISEBAKER MD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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