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1942865894
JORDAN LEE STAV
WARREN, MI
NPI
1942865894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301506040)
Enumeration Date
2019-05-07
Last Update Date
2022-05-03
Business Address
Dr. JORDAN LEE STAV MD
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 586-573-5000
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Mailing Address
Dr. JORDAN LEE STAV MD
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number:
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