KENTON LEE WATERBROOK

LANSING, MI
NPI1750377966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MI  KW008742)
Enumeration Date2005-09-22
Last Update Date2011-08-12
Business Address
-- KENTON LEE WATERBROOK DO
3370 E JOLLY RD
LANSING, MI 48910-8552
Phone number: 517-487-3717
Mailing Address
-- KENTON LEE WATERBROOK DO
3370 E JOLLY RD
LANSING, MI 48910-8552
Phone number: 517-487-3717
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