KOSTADINOS VERGOS

FRUITPORT, MI
NPI1942883442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5151015241)
Enumeration Date2021-05-03
Last Update Date2021-05-03
Business Address
KOSTADINOS VERGOS DO
3443 FARR RD
FRUITPORT, MI 49415-8779
Phone number: 231-672-2900
Mailing Address
KOSTADINOS VERGOS DO
1675 LEAHY ST STE 315A
MUSKEGON, MI 49442-5543
Phone number:
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