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Individual

LEE P. BEGROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
80 68TH ST SE STE 202, GRAND RAPIDS, MI 49548-6980
(616) 267-0759
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009253
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3149065
MI
Enumeration date
06/10/2005
Last updated
03/05/2021
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