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1912401746
ERIC DAVID LUECK
GRAND RAPIDS, MI
NPI
1912401746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011969)
Enumeration Date
2018-03-19
Last Update Date
2022-03-31
Business Address
ERIC DAVID LUECK
933 3 MILE RD NW STE 104
GRAND RAPIDS, MI 49544-1673
Phone number: 616-233-3592
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Mailing Address
ERIC DAVID LUECK
625 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-2395
Phone number: 616-356-5000
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