Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Mar 28, 2011
License(s)
4301 098 219 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2799 W GRAND BLVD | Detroit, MI 48202-2608 | |
| LOCATION | 2799 W GRAND BLVD | Detroit, MI 48202-2608 | 313-916-2889 |
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