Registry details
Type
Organization
Primary specialty
Internal Medicine
Enumerated
Jan 11, 2007
License(s)
4301021897 (MI), 4301087179 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 15530 KING RD | Riverview, MI 48193-7943 | 734-479-2380 |
| LOCATION | 1640 FORT ST SUITE E | Trenton, MI 48183-2040 | 734-675-9888 |
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