Registry details
Type
Individual
Primary specialty
Internal Medicine, Nephrology
Enumerated
Jul 21, 2016
License(s)
4301508588 (MI), 4301508588 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2070 BIDDLE AVE | Wyandotte, MI 48192-4080 | 734-283-7248 |
| MAILING | 1 FORD PL STE 3A | Detroit, MI 48202-3450 | 313-874-4806 |
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