DORU LICA

TROY, MI
NPI1407037716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005163)
Enumeration Date2007-11-15
Last Update Date2013-12-03
Business Address
-- DORU LICA PA
4967 CROOKS RD SUITE 130
TROY, MI 48098-5801
Phone number: 248-952-1601
Mailing Address
-- DORU LICA PA
641 PRINCESS DR
CANTON, MI 48188-1143
Phone number: 734-718-2878
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