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Individual

ADAM DEZURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3116 TAUBMAN CENTER, SPC 5368, 1500 E. MEDICAL CENTER DR., ANN ARBOR, MI 48109-5368
(734) 936-4385
Mailing address
3116 TAUBMAN CENTER, SPC 5368, 1500 E. MEDICAL CENTER DR., ANN ARBOR, MI 48109-5368

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4301094310
MI

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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