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Individual

DR. YOSEF GINDZIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301079420
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0364980001
NSC
MI
01
180045162
MEDICARE RR
MI
05
4428487
MI
Enumeration date
06/13/2005
Last updated
06/05/2008
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