Individual
DR. GEOFFREY GERALD SELVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4612 WOODWARD AVE, DETROIT, MI 48201-1826
(313) 832-3247
(313) 832-8635
Mailing address
4612 WOODWARD AVE, DETROIT, MI 48201-1826
(313) 832-3247
(313) 832-8635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027647
MI
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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