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1497995641
TODD THORNTON LAVERY
DETROIT, MI
NPI
1497995641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MI 4301090570)
Enumeration Date
2009-03-01
Last Update Date
2015-05-06
Business Address
Dr. TODD THORNTON LAVERY M.D.
4160 JOHN R ST STE 615
DETROIT, MI 48201-2022
Phone number: 313-745-8773
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Mailing Address
Dr. TODD THORNTON LAVERY M.D.
1560 E MAPLE RD SUITE 400- CREDENTIALING DEPARTMENT
TROY, MI 48083-1138
Phone number: 248-581-5974
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