Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jan 31, 2007
License(s)
061034 (MI), 4301061034 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2305 GENOA BUSINESS PARK DR STE 120 | Brighton, MI 48114-7004 | 810-494-6881 |
| MAILING | 24 FRANK LLOYD WRIGHT DR LBBY J2000 | Ann Arbor, MI 48105-9484 |
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.