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ALLEN D DAMSCHRODER M.D.

>> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1619987468

Individual Registrant:
 ALLEN D DAMSCHRODER M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
4048 CEDAR BLUFF DR SUITE 1 PETOSKEY, MI 49770-8895 US
Tel: 231-347-5155  Fax: 231-347-6128

Contact information for business:
PO BOX 430  PETOSKEY, MI 49770-0430 US
Tel: 231-347-5155  Fax: 231-347-6128

Registration Information:
NPI: 1619987468
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
MI

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
7777777MI05




HEALTH CARE JOBS MI - Page 1



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