ERONICO P JAVELLANA

SAULT SAINTE MARIE, MI
NPI1285677948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  33553)
Enumeration Date2006-06-13
Last Update Date2012-07-16
Business Address
-- ERONICO P JAVELLANA
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-3740
Phone number: 906-632-5200
Mailing Address
-- ERONICO P JAVELLANA
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-3740
Phone number: 906-632-5200