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Organization

GRADES PODIATRIC GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUERCY SAINT-PHARD DPM (PRESIDENT/OWNER)
(269) 277-5040
Entity
Organization

Contact information

Practice address
185 E MAIN ST STE 408, BENTON HARBOR, MI 49022-4456
(269) 277-5040
(269) 277-5010
Mailing address
185 E MAIN ST STE 408, BENTON HARBOR, MI 49022-4456
(269) 277-5040
(269) 277-5010

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002223
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134891750
MI
Enumeration date
07/28/2008
Last updated
08/03/2015
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