Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Nov 15, 2017
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1 FORD PL STE 3A | Detroit, MI 48202-3450 | 313-874-4806 |
| LOCATION | 15717 15 MILE RD | Clinton Township, MI 48035-2101 | 586-285-3800 |
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