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1548904204
ALEXANDER MARK SHRUM
DETROIT, MI
NPI
1548904204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
ALEXANDER MARK SHRUM DO
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-1020
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Mailing Address
ALEXANDER MARK SHRUM DO
PO BOX 174
HEBRON, IN 46341-0174
Phone number: 219-775-8614
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