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Individual

MARC A AFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7123
Mailing address
PO BOX 2184, GRAND RAPIDS, MI 49501-2184
(616) 363-7867

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101015649
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5183164
MI
01
P00401354
RAILROAD MEDICARE
MI
01
P00412441
RAILROAD MEDICARE
MI
Enumeration date
05/02/2006
Last updated
09/23/2011
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