Individual
VICTORIA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7521 MICHIGAN AVE, DETROIT, MI 48210-2229
(313) 436-4661
Mailing address
4905 MADISON ST, DEARBORN HEIGHTS, MI 48125-2363
(313) 412-5171
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
2701169133
MI
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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