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Organization
THIRD AVENUE FAMILY CLINIC, PC
Active
Organization
THIRD AVENUE FAMILY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE STAPEL (OFFICE MANAGER)
(231) 865-3918
Entity
Organization
Contact information
Practice address
14 N. THIRD AVE, FRUITPORT, MI 49415
(231) 865-3918
(231) 865-3510
Mailing address
14 N 3RD AVE, FRUITPORT, MI 49415-8920
(231) 865-3918
(231) 865-3510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
05/24/2011
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