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Individual

JOHN F. HILDEBRANDT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 LOVELL ST, IONIA, MI 48846-9706
(616) 527-5732
(616) 527-5720
Mailing address
2687 W LINCOLN AVE, IONIA, MI 48846-9592
(616) 527-4281

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301G7296
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0803410401
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/21/2005
Last updated
07/08/2007
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