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Organization

JAMES M POUILLON DPM PLC

Active
Other names
IVANREST FOOT AND ANKLE SPECIALISTS
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES M POUILLON DPM (PHYSICIAN)
(616) 405-0102
Entity
Organization

Contact information

Practice address
3050 IVANREST AVE SW STE E, GRANDVILLE, MI 49418-1400
(616) 406-0102
(616) 406-0105
Mailing address
4310 LEONARD ST NW STE 103, WALKER, MI 49534-8447
(616) 453-6329
(616) 453-1725

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
06/20/2017
Last updated
06/20/2017
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