Individual
DORENEA GURARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 TOWN CTR, 1900, SOUTHFIELD, MI 48075-1135
(248) 633-8511
(313) 864-7701
Mailing address
2000 TOWN CTR, 1900, SOUTHFIELD, MI 48075-1135
(248) 633-8511
(313) 864-7701
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
G663149085565
MI
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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