Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jun 8, 2016
License(s)
5601007778 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 24 FRANK LLOYD WRIGHT DR PO BOX 0446 - LOBBY J | Ann Arbor, MI 48105-9484 | 734-747-6766 |
| LOCATION | 5301 E HURON RIVER DR | Ypsilanti, MI 48197-1051 | 734-712-8676 |
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