Individual
MR. ABRAHAM O'DARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43644 ARBORVIEW LN, VAN BUREN TWP, MI 48111-3347
(312) 775-2318
(855) 510-5554
Mailing address
43644 ARBORVIEW LN, VAN BUREN TWP, MI 48111-3347
(312) 775-2318
(855) 510-5554
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O623029027305
DRIVER'S LICENSE
MI
Enumeration date
07/03/2019
Last updated
07/03/2019
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