MACOMB OAKLAND ADULT MEDICINE PC
Osteopathic Medicine at South Blvd, Rochester, MI

License number
Michigan RL063320
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: R SCOTT LAZZARA MD
Title: PRESIDENT
Phone: (248) 997-7900
Address
Address
1701 South Blvd E SUITE 290, Rochester, MI 48307
National Provider ID: 1669576120
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MACOMB OAKLAND ADULT MEDICINE PC

Rochester, MI

Doing business as:
Macomb Oakland Adult Medicine
Registration:
Jun 14, 2000
Site:
moampc.com
Phone:
(248) 997-7900 (Phone)
Addresses:
1701 S Blvd E STE 290, Rochester, MI 48307 (Physical)
Michigan (Mailing)
State ID:
32260A
Business type:
Domestic Professional Service Corporation
Agent:
Anna Victoria Kulczycki-Mittag
Categories:
Internal Medicine Physicians & Surgeons, Urology Physicians & Surgeons

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