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1790974210
DUANE EDWARD SCHOLTENS
GRAND RAPIDS, MI
NPI
1790974210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601005101)
Enumeration Date
2007-10-21
Last Update Date
2007-12-07
Business Address
-- DUANE EDWARD SCHOLTENS PA-C
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-752-6520
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Mailing Address
-- DUANE EDWARD SCHOLTENS PA-C
143 DENNIS AVE
FRUITPORT, MI 49415-9755
Phone number: 231-865-6820
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