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Individual

MR. CHESTER VICKROY PAINTER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-5181
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-5184

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Enumeration date
11/30/2022
Last updated
11/30/2022
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