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1770696171
LAKESIDE UROLOGY PC
SAINT JOSEPH, MI
NPI
1770696171
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Entity Type
Organization
Authorized Contact
PETER BRIDGES
Physician/Office Manager
269-982-4272
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2006-08-17
Last Update Date
2009-12-16
Business Address
LAKESIDE UROLOGY PC
815 SAINT JOSEPH DR
SAINT JOSEPH, MI 49085-2529
Phone number: 269-982-4272
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Mailing Address
LAKESIDE UROLOGY PC
815 SAINT JOSEPH DR
SAINT JOSEPH, MI 49085-2529
Phone number: 269-982-4272
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