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1750768321
PHILIP R ISON
COMMERCE TOWNSHIP, MI
NPI
1750768321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704244865)
Enumeration Date
2015-05-01
Last Update Date
2015-05-01
Business Address
-- PHILIP R ISON NP
3645 SANDBAR DR
COMMERCE TOWNSHIP, MI 48382-1067
Phone number: 313-732-1545
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Mailing Address
-- PHILIP R ISON NP
3645 SANDBAR DR
COMMERCE TOWNSHIP, MI 48382-1067
Phone number: 313-732-1545
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