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1316562515
JERAD ROLAND BOOTH
STERLING HEIGHTS, MI
NPI
1316562515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: MI 5901400501)
Enumeration Date
2020-06-12
Last Update Date
2023-05-23
Business Address
Dr. JERAD ROLAND BOOTH DPM
2007 E 14 MILE RD
STERLING HEIGHTS, MI 48310-5905
Phone number: 586-244-9699
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Mailing Address
Dr. JERAD ROLAND BOOTH DPM
22201 MOROSS RD STE 250
DETROIT, MI 48236-2175
Phone number: 313-343-3423
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