Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jan 19, 2006
License(s)
4301032253 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 18756 MILLAR RD | Clinton Township, MI 48036-2095 | 586-805-4969 |
| LOCATION | 18756 MILLAR RD | Clinton Township, MI 48036-2095 | 586-805-4969 |
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