Individual
JOEL EMMANUEL-PIERRE SHREVE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11300 BURT RD, DETROIT, MI 48228-1258
(313) 273-2068
Mailing address
11300 BURT RD, DETROIT, MI 48228-1258
(313) 273-2068
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
S610425229352
MI
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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