Registry details
Type
Individual
Primary specialty
Internal Medicine, Medical Oncology
Enumerated
Oct 2, 2013
License(s)
C1-0012950 (DE), 4301510222 (MI), 4301510222 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 14555 LEVAN RD | Livonia, MI 48154-5041 | 734-712-1000 |
| MAILING | 24 FRANK LLOYD WRIGHT DRIVE SUITE J2000 | Ann Arbor, MI 48105 | 734-747-6766 |
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.