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General NPI Number Information
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NPI Number | 1962626671
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Entity Type | Individual
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Provider Name | GREGORY JAMES ARTZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 1555 44TH ST SW
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City | WYOMING
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State | MI
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Zip | 49509-4313
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Country | US
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Telephone | 616-249-8000
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Fax | 215-923-4532
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Provider Business Mailing Address
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Address Line | 1555 44TH ST SW
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City | WYOMING
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State | MI
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Zip | 49509-4313
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Country | US
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Telephone | 616-249-8000
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Fax | 215-923-4532
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD422413
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 4301087787
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301087787
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License Number State | MI
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