JEFFREY LOUIS PROVIZER

FARMINGTON HILLS, MI
NPI1316931405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101013058)
Enumeration Date2005-09-06
Last Update Date2018-12-11
Business Address
JEFFREY LOUIS PROVIZER DO
32255 NORTHWESTERN HWY STE 130
FARMINGTON HILLS, MI 48334
Phone number: 248-723-5880
Mailing Address
JEFFREY LOUIS PROVIZER DO
29992 NORTHWESTERN HWY STE C
FARMINGTON HILLS, MI 48334-3292
Phone number: 248-851-1430
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