Individual
CLARENCE J VERBRUGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
350 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4656
(616) 235-3984
Mailing address
350 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4656
(616) 235-3984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002861
MI
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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