Individual
JUSTIN DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
Mailing address
505 GRANDVIEW AVE, HOMER, MI 49245-1235
(517) 899-0501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704312304
MI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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