Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Feb 23, 2007
License(s)
4301059759 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 33000 PALMER RD | Westland, MI 48186 | 734-729-1800 |
| LOCATION | 33000 PALMER RD | Westland, MI 48186 | 734-729-1800 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.