Individual
CURTIS DETLOR IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6057 FOUNTAIN POINTE, APT 9, GRAND BLANC, MI 48439-7738
(810) 394-8709
Mailing address
6057 FOUNTAIN POINTE, APT 9, GRAND BLANC, MI 48439-5331
(810) 394-8709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301103698
MI
Other
Enumeration date
08/19/2013
Last updated
08/28/2013
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