Individual
DR. RANDY F R LOVELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2155 EAST PARIS AVE SE # 210, GRAND RAPIDS, MI 49546-6142
(616) 655-1570
(616) 655-1571
Mailing address
2155 EAST PARIS AVE SE # 210, GRAND RAPIDS, MI 49546-6142
(616) 655-1570
(616) 655-1571
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
RL070418
MI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
RL070418
MI
Other
Enumeration date
08/20/2006
Last updated
10/23/2019
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