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1801966122
THEODORE FITCH MAUGER
GRAND RAPIDS, MI
NPI
1801966122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301039223)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Dr. THEODORE FITCH MAUGER MD
1325 THORNAPPLE RIVER DR SE
GRAND RAPIDS, MI 49546-9736
Phone number: 616-676-0208
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Mailing Address
Dr. THEODORE FITCH MAUGER MD
1325 THORNAPPLE RIVER DR SE
GRAND RAPIDS, MI 49546-9736
Phone number: 616-676-0208
Copy
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