Individual
JAMES WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18595 GRAND RIVER AVE, 18595 GRANDRIVER AVE., DETROIT, MI 48223-2377
(131) 327-0320
(131) 327-0465
Mailing address
18595 GRAND RIVER AVE, 18595 GRANDRIVER AVE., DETROIT, MI 48223-2377
(131) 327-0320
(131) 327-0465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11650
MI
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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