Individual
CHRIS DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20955 BOURNEMOUTH ST, HARPER WOODS, MI 48225-2301
(734) 729-7792
Mailing address
20955 BOURNEMOUTH ST, HARPER WOODS, MI 48225-2301
(734) 729-7792
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
D360115792047
MI
Other
Enumeration date
08/03/2015
Last updated
08/05/2015
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