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Individual

EMILY T DURKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
330 BARCLAY AVE NE, SUITE 202, GRAND RAPIDS, MI 49503-2556
(616) 458-1722
Mailing address
330 BARCLAY AVE NE, SUITE 202, GRAND RAPIDS, MI 49503-2556
(616) 458-1722

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
48778
WI
2086S0120X
Pediatric Surgery Physician
Primary
4301102841
MI

Other

Enumeration date
05/12/2006
Last updated
06/25/2013
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