Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 3, 2006
License(s)
036763E (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 255 W MICHIGAN AVE P O BOX 1123 | Jackson, MI 49201-2218 | 800-242-1131 |
| LOCATION | 801 OSTRUM ST | Bethlehem, PA 18015-1000 | 610-954-5810 |
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