Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Mar 21, 2013
License(s)
4301114339 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 9421 JOSEPH CAMPAU ST | Hamtramck, MI 48212-3485 | 313-462-4960 |
| MAILING | 9421 JOSEPH CAMPAU ST | Hamtramck, MI 48212-3485 | 313-462-4960 |
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