Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jun 8, 2023
License(s)
4351051774 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3601 W 13 MILE RD | Royal Oak, MI 48073-6712 | |
| LOCATION | 3601 W 13 MILE RD | Royal Oak, MI 48073-6712 | 248-898-0833 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.