NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1992801138
GASTROENTEROLOGY INSTITUTE OF WEST MICHIGAN PC
4100 EMBASSY DR SE
GRAND RAPIDS
MI
495462416
1972692358
KHAN
SHAUKAT
A
4100 EMBASSY DR SE
GRAND RAPIDS
MI
495462416
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