Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Feb 8, 2006
License(s)
5101007565 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 200 OCEANGATE SUITE 100 | Long Beach, CA 90802-4217 | 562-499-6191 |
| LOCATION | 4700 SCHAEFER RD | Dearborn, MI 48123-3698 | 313-581-2600 |
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