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Individual

MR. FREDERICK KACOS JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
330 FULLER AVE NE, GRAND RAPIDS, MI 49503-3631
(616) 459-7111
(616) 459-8277
Mailing address
8852 JE NE BE DR NE, ROCKFORD, MI 49341-8313
(616) 874-7022

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501001548
MI

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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