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Individual

DR. KERENT DOMINIQUE PIHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1009 44TH ST SW, STE 101, WYOMING, MI 49509-4480
(616) 828-4622
(616) 635-2552
Mailing address
1009 44TH ST SW, STE 101, WYOMING, MI 49509-4480
(616) 828-4622
(616) 635-2552

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101019176
MI

Other

Enumeration date
03/14/2011
Last updated
07/06/2016
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