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1962627802
MARK MARSHALL MILLAR
GRAND RAPIDS, MI
NPI
1962627802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: MI 4301071401)
Enumeration Date
2007-04-16
Last Update Date
2014-05-14
Business Address
-- MARK MARSHALL MILLAR M.D.
1179 E PARIS AVE SE SUITE 150
GRAND RAPIDS, MI 49546-8371
Phone number: 616-957-1912
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Mailing Address
-- MARK MARSHALL MILLAR M.D.
1179 E PARIS AVE SE SUITE 150
GRAND RAPIDS, MI 49546-8371
Phone number: 616-957-1912
Copy
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