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1972761880
GLENN ROGER GROUSTRA
ANN ARBOR, MI
NPI
1972761880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301023788)
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
-- GLENN ROGER GROUSTRA MD
555 E WILLIAM ST SUITE 22I
ANN ARBOR, MI 48104
Phone number: 734-663-5242
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Mailing Address
-- GLENN ROGER GROUSTRA MD
555 E WILLIAM ST SUITE 22I
ANN ARBOR, MI 48104
Phone number: 734-663-5242
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