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1770587305
JOSIP DIVIC
GRAND RAPIDS, MI
NPI
1770587305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301062325)
Enumeration Date
2005-06-10
Last Update Date
2021-03-02
Business Address
JOSIP DIVIC MD
100 MICHIGAN ST NE A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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Mailing Address
JOSIP DIVIC MD
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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