RICHARD A AXTELL

GRAND RAPIDS, MI
NPI1932170065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: MI  4301048203)
Enumeration Date2006-01-27
Last Update Date2013-04-03
Business Address
-- RICHARD A AXTELL MD
100 MICHIGAN ST NE MC 249
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-1925
Mailing Address
-- RICHARD A AXTELL MD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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