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Individual

ALLEN S LICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, B2 FLOOR UNIVERSITY HOSPITAL RM C490, ANN ARBOR, MI 48109-0010
(734) 936-4300
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
4301047285
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3453968
MI
Enumeration date
09/29/2006
Last updated
07/08/2007
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