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1912965799
MICHAEL J. BACON
PETOSKEY, MI
NPI
1912965799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101006585)
Enumeration Date
2006-05-02
Last Update Date
2014-05-06
Business Address
DR. MICHAEL J. BACON D.O.
1937 M 119
PETOSKEY, MI 49770-8913
Phone number: 231-348-9200
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Mailing Address
DR. MICHAEL J. BACON D.O.
1937 M 119
PETOSKEY, MI 49770-8913
Phone number: 231-348-9200
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