Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Nov 15, 2005
License(s)
4301074015 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 32270 TELEGRAPH RD STE 220B | Bingham Farms, MI 48025-2456 | 248-480-9080 |
| MAILING | 32270 TELEGRAPH RD STE 220 | Bingham Farms, MI 48025-2405 | 248-480-9080 |
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