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Individual

DR. CRAIG NELIS BADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
29 WEST 8TH STREET, SUITE 240, HOLLAND, MI 49423
(616) 396-1433
(616) 396-9643
Mailing address
29 WEST 8TH STREET, SUITE 240, HOLLAND, MI 49423
(616) 396-1433
(616) 396-9643

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
4301039774
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16070-000081
BCBS
05
2109477-ID
MI
Enumeration date
10/05/2006
Last updated
07/08/2007
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