Individual
JONATHAN CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12000 E 12 MILE RD, WARREN, MI 48093-3570
(586) 576-4140
Mailing address
12000 E 12 MILE RD, WARREN, MI 48093-3570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101022034
MI
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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