ERNEST OWEN BUTKOVICH734-712-

YPSILANTI, MI
NPI1982191482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502000703)
Enumeration Date2018-04-19
Last Update Date2018-04-19
Business Address
ERNEST OWEN BUTKOVICH734-712- PTA
5301 E HURON RIVER DR
YPSILANTI, MI 48197-1051
Phone number: 734-712-2365
Mailing Address
ERNEST OWEN BUTKOVICH734-712- PTA
34505 W 12 MILE RD STE 200
FARMINGTON HILLS, MI 48331-3286
Phone number: