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DR. MICHAEL PATRICK MCNUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1881 N PONTIAC TRL, SUITE A, WALLED LAKE, MI 48390-3101
(248) 624-5996
(248) 624-5997
Mailing address
1881 N PONTIAC TRL, SUITE A, WALLED LAKE, MI 48390-3101
(248) 624-5996
(248) 624-5997

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16532
MI

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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