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Individual

VINCENT R DE LAS ALAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 754-4691
Mailing address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 754-4691

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301055422
MI

Other

Enumeration date
06/21/2006
Last updated
07/08/2007
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