Individual
LAUREN SALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-7514
(313) 745-1873
Mailing address
4160 JOHN R ST STE 400, DETROIT, MI 48201-2021
(313) 745-8773
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301502570
MI
Other
Enumeration date
06/18/2015
Last updated
05/27/2020
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