GEOFFREY THANE D'ALLEMAND

DEARBORN, MI
NPI1174688600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001396)
Enumeration Date2006-12-26
Last Update Date2007-07-08
Business Address
Mr. GEOFFREY THANE D'ALLEMAND PA-C
19401 HUBBARD DR SUITE 104
DEARBORN, MI 48126-2641
Phone number: 313-982-8151
Mailing Address
Mr. GEOFFREY THANE D'ALLEMAND PA-C
126 AUSTIN AVE
ROYAL OAK, MI 48067-1706
Phone number: 248-399-0973