Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Aug 2, 2005
License(s)
4301043128 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 128 S 25TH ST | Escanaba, MI 49829-1364 | 906-786-4100 |
| LOCATION | 128 S 25TH ST | Escanaba, MI 49829-1364 | 906-786-4100 |
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