GAN SU

MADISON HEIGHTS, MI
NPI1992093652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5101019329)
Enumeration Date2011-07-15
Last Update Date2011-07-15
Business Address
-- GAN SU D.O.
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071-3487
Phone number: 248-967-7795
Mailing Address
-- GAN SU D.O.
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071-3487
Phone number: 248-967-7795
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