Registry details
Type
Individual
Primary specialty
Dermatology, Dermatopathology
Enumerated
Jan 5, 2026
License(s)
4704398180 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 800 S ADAMS RD | Birmingham, MI 48009-7005 | 248-646-9597 |
| LOCATION | 800 S ADAMS RD | Birmingham, MI 48009-7005 | 248-646-9597 |
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