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1811467657
MEDICINE MAN MEDICAL, PLLC
SOUTHFIELD, MI
NPI
1811467657
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Entity Type
Organization
Authorized Contact
JERRY RAY POWELL
Partner
317-691-1824
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
MEDICINE MAN MEDICAL, PLLC
25130 SOUTHFIELD ROAD SUITE #210
SOUTHFIELD, MI 48075
Phone number: 317-691-1824
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Mailing Address
MEDICINE MAN MEDICAL, PLLC
25130 SOUTHFIELD RD STE 120
SOUTHFIELD, MI 48075-1900
Phone number: 317-691-1824
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