BLAINE DENNIS

TROY, MI
NPI1427017052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  4301051100)
Enumeration Date2006-03-22
Last Update Date2007-07-08
Business Address
-- BLAINE DENNIS
44201 DEQUINDRE RD EC
TROY, MI 48085-1117
Phone number: 248-964-5111
Mailing Address
-- BLAINE DENNIS
3601 W 13 MILE RD 400-FSC/PCS
ROYAL OAK, MI 48073-6712
Phone number: