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1700655149
COLLIN JOHN PETZ
TAYLOR, MI
NPI
1700655149
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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
2023-12-27
Last Update Date
2023-12-27
Business Address
COLLIN JOHN PETZ
26650 EUREKA RD STE A
TAYLOR, MI 48180-4835
Phone number: 313-389-7500
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Mailing Address
COLLIN JOHN PETZ
37450 SCHOOLCRAFT RD
LIVONIA, MI 48150-1082
Phone number: 734-458-4601
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