Individual
MR. RANDY SCOTT TORRES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
29877 TELEGRAPH RD STE 200, SOUTHFIELD, MI 48034-7659
(248) 354-0730
Mailing address
1212 N SELFRIDGE BLVD, CLAWSON, MI 48017-1006
(734) 560-7720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704261502
MI
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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