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Individual

KENDAL ELIZABETH GLUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 W RANDALL ST, COOPERSVILLE, MI 49404-1369
(616) 974-4860
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078284
MI

Other

Enumeration date
05/30/2006
Last updated
03/22/2011
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