Individual
AVERY ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 569-7745
(248) 569-4539
Mailing address
3911 N GOLDENROD ST, MAIZE, KS 67101-3741
(480) 298-0233
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5151017239APP25
MI
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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