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1831151802
MATTHEW L WAACK
GRAND RAPIDS, MI
NPI
1831151802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301073162)
Enumeration Date
2006-04-05
Last Update Date
2023-06-26
Business Address
MATTHEW L WAACK MD
3264 N EVERGREEN DRIVE NE
GRAND RAPIDS, MI 49525
Phone number: 616-363-7272
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Mailing Address
MATTHEW L WAACK MD
3264 N EVERGREEN DRIVE NE
GRAND RAPIDS, MI 49525
Phone number: 616-363-7272
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