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Organization
B KENT MAUPIN MD PC
Active
Organization
B KENT MAUPIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD KENT MAUPIN M.D. (OWNER/PRESIDENT)
(616) 954-0094
Entity
Organization
Contact information
Practice address
1001 MEDICAL PARK DR SE, SUITE 211, GRAND RAPIDS, MI 49546-3610
(616) 954-0094
(616) 954-9871
Mailing address
1001 MEDICAL PARK DR SE, SUITE 211, GRAND RAPIDS, MI 49546-3610
(616) 954-0094
(616) 954-9871
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4301043303
MI
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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