Organization
RENAISSANCE AGE MANAGEMENT INSTITUTE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE GAMBLE (OFFICE MANAGER)
(734) 207-9999
Entity
Organization
Contact information
Practice address
29150 BUCKINGHAM ST, SUITE 6, LIVONIA, MI 48154-7502
(734) 207-9999
(734) 943-6009
Mailing address
29150 BUCKINGHAM ST, SUITE 6, LIVONIA, MI 48154-7502
(734) 207-9999
(734) 943-6009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301051672
MI
Other
Enumeration date
06/25/2008
Last updated
01/28/2016
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