DAVID DOUGLAS LICK

STERLING HEIGHTS, MI
NPI1962478974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FM  4301076522)
Enumeration Date2006-02-28
Last Update Date2020-10-23
Business Address
DAVID DOUGLAS LICK
44250 DEQUINDRE RD
STERLING HEIGHTS, MI 48314-1002
Phone number: 248-964-0400
Mailing Address
DAVID DOUGLAS LICK
44250 DEQUINDRE RD
STERLING HEIGHTS, MI 48314-1002
Phone number: 248-964-0400
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