DOUGLAS SHORTRIDGE

DETROIT, MI
NPI1518712355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-23
Last Update Date2025-07-22
Business Address
DOUGLAS SHORTRIDGE DO
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-1020
Mailing Address
DOUGLAS SHORTRIDGE DO
114 W ADAMS AVE APT 1507
DETROIT, MI 48226-1636
Phone number: 317-697-8629
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