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1932170065
RICHARD A AXTELL
GRAND RAPIDS, MI
NPI
1932170065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0207X Pediatrics Pediatric Hematology-Oncology
(Licence: MI 4301048203)
Enumeration Date
2006-01-27
Last Update Date
2013-04-03
Business Address
RICHARD A AXTELL MD
100 MICHIGAN ST NE MC 249
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-1925
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Mailing Address
RICHARD A AXTELL MD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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