Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 17, 2026
License(s)
5151018190 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3395 EASTPOINTE LN | Bloomfield Hills, MI 48302-0939 | 248-631-8962 |
| LOCATION | 28050 GRAND RIVER AVE | Farmington Hills, MI 48336-5919 | 947-521-8000 |
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