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Organization

LAKESHORE OSTEOPATHIC CENTER,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERI HAMMER DO (PRESIDENT)
(313) 882-8070
Entity
Organization

Contact information

Practice address
20867 MACK AVE, STE 7, GROSSE POINTE WOODS, MI 48236-1392
(313) 882-8070
(313) 882-8413
Mailing address
20867 MACK AVE, STE 7, GROSSE POINTE WOODS, MI 48236-1392
(313) 882-8070
(313) 882-8413

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
TH015883
MI

Other

Enumeration date
03/05/2007
Last updated
09/11/2007
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