Individual
MR. ADLERE MICHEL ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2055 VILLA SPRING CT, DACULA, GA 30019-2275
(757) 606-4702
Mailing address
2055 VILLA SPRING CT, DACULA, GA 30019-2275
(757) 606-4702
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4096
GA
Other
Enumeration date
03/15/2013
Last updated
06/12/2025
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