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1710509872
LAWRENCE JORDAN BREYFOGLE
ANN ARBOR, MI
NPI
1710509872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351046184)
Enumeration Date
2020-05-12
Last Update Date
2020-05-14
Business Address
Dr. LAWRENCE JORDAN BREYFOGLE MD
1500 E MEDICAL CENTER DRIVE UH B1D530, SPC 5030
ANN ARBOR, MI 48109-5030
Phone number: 734-615-4924
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Mailing Address
Dr. LAWRENCE JORDAN BREYFOGLE MD
1500 E MEDICAL CENTER DRIVE UH B1D530, SPC 5030
ANN ARBOR, MI 48109-5030
Phone number:
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