Individual
AVIS J DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12031 CARDWELL ST, LIVONIA, MI 48150-2355
(248) 982-7385
Mailing address
12031 CARDWELL ST, LIVONIA, MI 48150-2355
(248) 982-7385
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704302281
MI
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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