Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Jun 13, 2024
License(s)
4351057057 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4201 SAINT ANTOINE ST | Detroit, MI 48201-2153 | 313-240-4900 |
| LOCATION | 4201 SAINT ANTOINE ST | Detroit, MI 48201-2153 | 313-240-4900 |
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