Richard P Clodfelder MD

NPI 1164434346 - Internal Medicine - 207R00000X

NPI Details
NPI 1164434346
Gender Male
Enumeration Date 08/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
75 SHELDON BLVD SE
STE 106
GRAND RAPIDS MI, 49503-4224, US
Phone (616) 776-2400
Fax
Business Location
2000 LAKE DR SE
GRAND RAPIDS MI, 49506-3023, US
Phone (616) 776-2400
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301026348
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According to our database, Richard P Clodfelder MD NPI is 1164434346, taxonomy code is 207R00000X and license number is 4301026348, license state is located at Michigan. Richard P Clodfelder MD physically located at 75 Sheldon Blvd Se, Grand Rapids MI, 49503-4224. NPI Number Richard P Clodfelder MD has the Individual type.

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1164434346 NPI number is provided on an as is basis without warranty of any kind. 1164434346 is maintained by the National Plan & Provider Enumeration System. The contents of Richard P Clodfelder MD are for informational purposes only.