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1760781926
MICHAEL THOMAS FISHBURN
SOUTHFIELD, MI
NPI
1760781926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
243U00000X Radiology Practitioner Assistant
Enumeration Date
2011-03-26
Last Update Date
2011-03-26
Business Address
Mr. MICHAEL THOMAS FISHBURN RPA
28837 W KALONG CIR
SOUTHFIELD, MI 48034-5665
Phone number: 248-358-2979
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Mailing Address
Mr. MICHAEL THOMAS FISHBURN RPA
28837 W KALONG CIR
SOUTHFIELD, MI 48034-5665
Phone number: 248-358-2979
Copy