Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 25, 2011
License(s)
4301098266 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 26211 CENTRAL PARK BLVD STE 201 | Southfield, MI 48076-4158 | 833-667-3627 |
| LOCATION | 26025 LAHSER RD FL 2 | Southfield, MI 48033-2606 | 248-663-1900 |
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