Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Aug 28, 2006
License(s)
4301081174 (MI), 4301081174 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 18101 OAKWOOD BLVD DEPT OF ANESTHESIOLOGY | Dearborn, MI 48124-4089 | 313-593-7050 |
| MAILING | 2865 WOODFORD DR | Sterling Heights, MI 48310-6936 | 586-983-3699 |
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