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1821379132
DAVID MARK OPHOFF
GRAND RAPIDS, MI
NPI
1821379132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006139)
Enumeration Date
2011-08-31
Last Update Date
2021-02-25
Business Address
DAVID MARK OPHOFF PA
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-7414
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Mailing Address
DAVID MARK OPHOFF PA
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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