Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Aug 6, 2010
License(s)
4704221666 (MI), 4704221666 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5333 MCAULEY DRIVE SUITE 3001 | Ypsilanti, MI 48197 | 734-712-8100 |
| MAILING | 24 FRANK LLOYD WRIGHT DRIVE SUITE J2000 | Ann Arbor, MI 48105 | 734-747-6766 |
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