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Individual

DR. JOHN DAVID SELLERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
25500 MEADOWBROOK RD, STE 208, NOVI, MI 48375-1845
(248) 471-0580
(248) 471-1763
Mailing address
25500 MEADOWBROOK RD, STE 208, NOVI, MI 48375-1845
(248) 471-0580
(248) 471-1763

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
JS005955
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1656316504
BLUECROSS BLUE SHIELD
MI
Enumeration date
08/04/2006
Last updated
05/16/2008
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