Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 20, 2020
License(s)
5151014523 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1000 HARRINGTON ST | Mount Clemens, MI 48043-2920 | 586-790-9003 |
| MAILING | 1000 HARRINGTON ST | Mount Clemens, MI 48043-2920 | 586-790-9003 |
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