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Individual

MR. HIMANSHU CHANDRAKANT DAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
43681 GROUSE DR, CLINTON TOWNSHIP, MI 48038-7413
(586) 362-6535
(586) 461-4088
Mailing address
43681 GROUSE DR, CLINTON TOWNSHIP, MI 48038-7413
(586) 362-6535
(586) 461-4088

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005262
MI

Other

Enumeration date
08/01/2005
Last updated
01/23/2012
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