Individual
MR. ERIC ANTHONY WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
19275 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 785-7705
(734) 287-1679
Mailing address
22650 FAIRMONT DRIVE, 303, FARMINGTON HILLS, MI 48335
(248) 426-9555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704246077
MI
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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