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Individual

JOHN PAUL CANTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4100 LAKE DR SE, SUITE 200, GRAND RAPIDS, MI 49546-8292
(616) 949-8244
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301052530
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301052530
MI

Other

Enumeration date
08/24/2006
Last updated
09/07/2022
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