Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Mar 24, 2006
License(s)
4301059486 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4646 JOHN R ST | Detroit, MI 48201-1916 | 313-576-3306 |
| MAILING | 4646 JOHN R ST | Detroit, MI 48201-1916 | 313-576-3306 |
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