DEVAN HIGGINBOTHAM

DETROIT, MI
NPI1306409677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-22
Last Update Date2019-04-22
Business Address
DEVAN HIGGINBOTHAM MD
4201 SAINT ANTOINE ST # 9-B
DETROIT, MI 48201-2153
Phone number: 313-745-1060
Mailing Address
DEVAN HIGGINBOTHAM MD
4201 SAINT ANTOINE ST # 9-B
DETROIT, MI 48201-2153
Phone number: 313-745-1060