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1851378657
CHAD UPTIGROVE
FRUITPORT, MI
NPI
1851378657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101014887)
Enumeration Date
2005-12-22
Last Update Date
2021-12-09
Business Address
CHAD UPTIGROVE DO
3443 FARR RD
FRUITPORT, MI 49415-8779
Phone number: 231-672-2900
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Mailing Address
CHAD UPTIGROVE DO
PO BOX 1848
MUSKEGON, MI 49443-1848
Phone number: 231-672-2900
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