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1972706612
MAIN STREET FAMILY PRACTICE PC
WEST BRANCH, MI
NPI
1972706612
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Entity Type
Organization
Authorized Contact
MARILYN ELIZABETH LOUIS
Onwer
989-343-1367
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2007-06-08
Last Update Date
2009-08-27
Business Address
MAIN STREET FAMILY PRACTICE PC
117 S BURGESS ST
WEST BRANCH, MI 48661-1403
Phone number: 989-343-1367
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Mailing Address
MAIN STREET FAMILY PRACTICE PC
117 S BURGESS ST
WEST BRANCH, MI 48661-1403
Phone number: 989-343-1367
Copy
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