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1922021484
MICHAEL L MAHACEK
GRAND RAPIDS, MI
NPI
1922021484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: MI 053126)
Enumeration Date
2006-07-25
Last Update Date
2007-10-30
Business Address
-- MICHAEL L MAHACEK MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1830
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Mailing Address
-- MICHAEL L MAHACEK MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1830
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