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1053938043
IAN SEBASTIAN WOOD
DETROIT, MI
NPI
1053938043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351046793)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
IAN SEBASTIAN WOOD MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-3056
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Mailing Address
IAN SEBASTIAN WOOD MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-3056
Copy
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