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1972573442
LOREN M WISE
KALAMAZOO, MI
NPI
1972573442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301078298)
Enumeration Date
2006-01-25
Last Update Date
2014-10-10
Business Address
-- LOREN M WISE MD
5629 STADIUM DR SUITE D
KALAMAZOO, MI 49009-1952
Phone number: 269-372-5701
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Mailing Address
-- LOREN M WISE MD
601 JOHN ST BOX 42
KALAMAZOO, MI 49007-5341
Phone number: 269-372-5701
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