GARY P. CERESNIE, D.P.M., P.C.
Medical Practice at Grand River Rd, Brighton Twp, MI

License number
Michigan 5901001780
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. GARY P. CERESNIE D.P.M.
Title: PRESIDENT
Phone: (810) 225-3338
Address
Address
7990 Grand River Rd SUITE D, Brighton Twp, MI 48114
National Provider ID: 1962425934
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GARY P. CERESNIE, D.P.M., PC

Brighton Twp, MI

Status:
Inactive
Registration:
Mar 14, 1997
Addresses:
7990 Grand Riv STE D, Brighton, MI 48114 (Physical)
Michigan (Mailing)
State ID:
459086
Business type:
Domestic Professional Service Corporation
Expiration:
1-4-2010
Agent:
Gary P Ceresnie Dpm

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