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Surgery Physician

NPI: 1104222017Organization

Specialties, Licenses & Credentials

Surgery PhysicianPrimary

Surgery

Code: 208600000X

4301080821(MI)

Contact & Hours

Address: 17000 EXECUTIVE PLAZA DR SUITE #204
DEARBORN, MI 48126
Phone: (313) 846-7970

Quick Facts

NPI: 1104222017
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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