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Individual

DR. ORRIE N CLOSE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
036.145950
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301500338
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2013
Last updated
07/15/2019
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