DR. RAYMOND H. DURUSSEL, P.C.
Podiatry at 10 Mile Rd, South Lyon, MI

License number
Michigan RD001395
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. RAYMOND HOWARD DURUSSEL D.P.M.
Title: OWNER
Phone: (248) 486-1177
Address
Address
13650 10 Mile Rd, South Lyon, MI 48178
National Provider ID: 1639373046
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. RAYMOND H. DURUSSEL, PC

South Lyon, MI

Status:
Inactive
Registration:
Oct 18, 1996
Addresses:
13650 10 Mile Rd, South Lyon, MI 48178 (Physical)
Michigan (Mailing)
State ID:
425937
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2011
Agent:
Raymond H Durussel

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