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1841368651
KONSTANTIN VOLOD ELISEVICH
GRAND RAPIDS, MI
NPI
1841368651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: MI 060725)
Enumeration Date
2006-12-01
Last Update Date
2021-12-03
Business Address
KONSTANTIN VOLOD ELISEVICH M.D.
25 MICHIGAN ST NE SUITE 6100
GRAND RAPIDS, MI 49503-2515
Phone number: 616-267-7900
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Mailing Address
KONSTANTIN VOLOD ELISEVICH M.D.
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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