Individual
DR. JERAD ROLAND BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2007 E 14 MILE RD, STERLING HEIGHTS, MI 48310-5905
(586) 244-9699
Mailing address
22201 MOROSS RD STE 250, DETROIT, MI 48236-2175
(313) 343-3423
(313) 343-3401
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901400501
MI
Other
Enumeration date
06/12/2020
Last updated
05/23/2023
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