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1831207679
DAVID EIDT
GRAND RAPIDS, MI
NPI
1831207679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002042)
Enumeration Date
2006-08-29
Last Update Date
2021-03-05
Business Address
DAVID EIDT
100 MICHIGAN ST NE STE A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-974-4889
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Mailing Address
DAVID EIDT
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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