Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 9, 2016
License(s)
22270 (NH), 286583 (MA), 5101022256 (MI), 5101025058 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 44038 WOODWARD AVE STE 200 | Bloomfield Hills, MI 48302-5037 | 248-335-2977 |
| LOCATION | 44038 WOODWARD AVE STE 200 | Bloomfield Hills, MI 48302-5037 | 248-335-2977 |
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