MICHAEL W. WHITWORTH DO PC
Osteopathic Medicine at Eureka Rd, Brownstown Township, MI

License number
Michigan 5101015449
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
Owner
Name: MS. AMANDA JUSTICE
Title: OFFICE MANAGER
Phone: (734) 282-2500
Address
Address
1500 Eureka Rd, Brownstown Township, MI 48192
National Provider ID: 1508074212
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL W WHITWORTH, DO, PC

Brownstown Township, MI

Registration:
May 24, 2007
Addresses:
1500 Eureka Rd, Wyandotte, MI 48192 (Physical)
Michigan (Mailing)
State ID:
00838T
Business type:
Domestic Professional Service Corporation
Agent:
Michael W Whitworth

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