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General NPI Number Information
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NPI Number | 1528261435
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Entity Type | Organization
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Legal Business Name | ERWIN GRASMAN MD PLLC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1890 E APPLE AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-4245
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Country | US
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Telephone | 231-780-6084
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Fax | 231-780-6090
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Provider Business Mailing Address
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Address Line | 3597 HENRY ST STE 201
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City | MUSKEGON
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State | MI
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Zip | 49441-6723
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Country | US
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Telephone | 231-780-6084
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Fax | 231-780-6090
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Authorized Official
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Title or Position | BILLING
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Name | MRS. PAULA ANN CONROY
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Credential | CPC
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Telephone | 231-780-6084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301027041
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License Number State | MI
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