Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 9, 2025
License(s)
5151017604 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 28050 GRAND RIVER AVE | Farmington Hills, MI 48336-5919 | |
| LOCATION | 28050 GRAND RIVER AVE | Farmington Hills, MI 48336-5919 | 947-521-8000 |
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