Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Mar 8, 2006
License(s)
4301076896 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 22151 MOROSS RD SUITE 214 | Detroit, MI 48236-2167 | 313-343-4867 |
| MAILING | 22151 MOROSS RD SUITE 214 | Detroit, MI 48236-2167 | 313-343-4867 |
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