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Organization

GD MI PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRED WEINBERG (DIRECTOR OF OPERATIONS)
(412) 849-3919
Entity
Organization

Contact information

Practice address
24033 MEADOWBROOK RD, NOVI, MI 48375-3456
(248) 305-1689
Mailing address
22610 SHEVINGTON DR, SOUTHFIELD, MI 48034-6213
(412) 849-3919

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/14/2019
Last updated
11/14/2019
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