Individual
LEE DEVERE ERNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1548 SUNTERRA TRL, BOYNE CITY, MI 49712-9025
(231) 459-6711
Mailing address
1548 SUNTERRA TRL, BOYNE CITY, MI 49712-9025
(231) 459-6711
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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