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Individual

COREY J HIRDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7169 KALAMAZOO AVE SE STE 100, CALEDONIA, MI 49316
(616) 266-9100
(616) 266-9200
Mailing address
7169 KALAMAZOO AVE SE STE 100, CALEDONIA, MI 49316-8146
(616) 266-9100
(616) 266-9200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006253
MI

Other

Enumeration date
01/12/2012
Last updated
07/09/2019
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