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1972658136
PRIMARY CARE SPORTS MEDICINE PC
PETOSKEY, MI
NPI
1972658136
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Entity Type
Organization
Authorized Contact
TODD M SHEPERD
President
231-348-9710
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301074786)
Enumeration Date
2007-01-25
Last Update Date
2008-07-08
Business Address
PRIMARY CARE SPORTS MEDICINE PC
560 W MITCHELL ST SUITE 340
PETOSKEY, MI 49770-2275
Phone number: 231-348-9710
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Mailing Address
PRIMARY CARE SPORTS MEDICINE PC
560 W MITCHELL ST SUITE 340
PETOSKEY, MI 49770-2275
Phone number: 231-348-9710
Copy
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