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Individual

DR. GWENDOLYN RUTH UNZICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
25 MICHIGAN ST NE, SUITE 5100, GRAND RAPIDS, MI 49503-2515
(616) 267-0800
(616) 267-0801
Mailing address
25 MICHIGAN ST NE, SUITE 5100, GRAND RAPIDS, MI 49503-2515
(616) 267-0800
(616) 267-0801

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301086304
MI

Other

Enumeration date
05/02/2007
Last updated
01/03/2012
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