JERRY LEON NOSANCHUK

BINGHAM FARMS, MI
NPI1568529931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: MI  5101005933)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
Dr. JERRY LEON NOSANCHUK D.O.
31500 TELEGRAPH RD SUITE 210
BINGHAM FARMS, MI 48025-4367
Phone number: 248-644-7200
Mailing Address
Dr. JERRY LEON NOSANCHUK D.O.
4545 NORTHRIDGE CT
WEST BLOOMFIELD, MI 48323-1397
Phone number: 248-926-8080
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