Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Apr 9, 2012
License(s)
35.128759 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3031 W GRAND BLVD STE 800 | Detroit, MI 48202-3141 | 313-916-2151 |
| MAILING | 3031 W GRAND BLVD STE 800 | Detroit, MI 48202-3141 | 313-916-2171 |
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