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1932174109
MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC
GRAND RAPIDS, MI
NPI
1932174109
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Entity Type
Organization
Authorized Contact
KYLE ROBERT RANDALL
President
616-451-9925
Organization Subpart ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
Enumeration Date
2006-02-21
Last Update Date
2012-10-17
Business Address
MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC
2911 KNAPP ST NE SUITE A
GRAND RAPIDS, MI 49525
Phone number: 616-451-9925
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Mailing Address
MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC
2911 KNAPP ST NE SUITE A
GRAND RAPIDS, MI 49525
Phone number: 616-451-9925
Copy
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