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1790893014
MAURICE EUGENE FONGERS
GREENVILLE, MI
NPI
1790893014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002820)
Enumeration Date
2006-08-27
Last Update Date
2021-03-15
Business Address
MR. MAURICE EUGENE FONGERS PA-C
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838-3514
Phone number: 616-754-3001
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Mailing Address
MR. MAURICE EUGENE FONGERS PA-C
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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