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Individual

IAN SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2953
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.015323
OH
207P00000X
Emergency Medicine Physician
5101021255
MI

Other

Enumeration date
03/26/2014
Last updated
07/01/2025
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