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1811094600
MITCHELL LELAND SHAVER
LAKE ORION, MI
NPI
1811094600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501010475)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. MITCHELL LELAND SHAVER MPT
1375 S LAPEER RD SUITE 209
LAKE ORION, MI 48360-1421
Phone number: 248-814-0500
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Mailing Address
Mr. MITCHELL LELAND SHAVER MPT
5300 DILLON DR
WHITE LAKE, MI 48383-4101
Phone number: 248-889-2967
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