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Individual

DR. CARMEN G DOZEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548
(616) 455-5000
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4400

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301105223
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301105223
MI

Other

Enumeration date
04/23/2012
Last updated
08/20/2018
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