Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Oct 10, 2005
License(s)
4301084979 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1335 S LINDEN RD SUITE C | Flint, MI 48532-3420 | 810-720-6070 |
| LOCATION | 1335 S LINDEN RD SUITE C | Flint, MI 48532-3420 | 810-720-6070 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.