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Individual

WARVERLY SOLOMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
46 HUDSON AVE, PONTIAC, MI 48342-1243
(248) 636-5869
Mailing address
46 HUDSON AVE, PONTIAC, MI 48342-1243
(248) 636-5869

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
08/26/2016
Last updated
08/26/2016
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