Individual
JOHN FREDERICK SIVERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
31636 SCHOOLCRAFT, LIVONIA, MI 48150
(734) 522-7313
(734) 522-3203
Mailing address
31636 SCHOOLCRAFT, LIVONIA, MI 48150
(734) 522-7313
(734) 522-3203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10031
MI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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