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Austin Georgacakes
NPI 1295588440 · on the registry since 2024
Practice
- Address
- 3565 Balsam Ave Ne
Grand Rapids, MI 49525 - Phone
- (616) 821-1900
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan