Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Oct 25, 2005
License(s)
4301024847 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 800 S ADAMS RD SUITE 101 | Birmingham, MI 48009-7005 | 248-646-9597 |
| LOCATION | 800 S ADAMS RD SUITE 101 | Birmingham, MI 48009-7005 | 248-646-9597 |
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