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Individual

ALICE STEVENS PENROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3174 PACKARD ROAD, ANN ARBOR, MI 48108-1947
(734) 971-1073
(734) 929-9911
Mailing address
3174 PACKARD ROAD, ANN ARBOR, MI 48108-1947
(734) 971-1073
(734) 929-9911

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301084788
MI

Other

Enumeration date
01/08/2008
Last updated
01/08/2008
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