Individual
DORYCE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 MONROE ST, 202, DEARBORN, MI 48124-3043
(313) 562-4485
Mailing address
2421 MONROE ST, 202, DEARBORN, MI 48124-3043
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000282
MI
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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