Registry details
Type
Individual
Primary specialty
Internal Medicine, Interventional Cardiology
Enumerated
May 11, 2006
License(s)
4301081200 (MI), 4301081200 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 27901 WOODWARD AVE SUITE 300 | Berkley, MI 48072-0919 | 248-545-0070 |
| MAILING | 26901 BEAUMONT BLVD STE 3D | Southfield, MI 48033-3849 |
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