SCOTT GRODMAN DPM PC
Suppliers at Pardee Rd, Taylor, MI

License number
Michigan 001478
Category
Podiatry
Type
Podiatrist
License number
Michigan 001478
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: SCOTT T GRODMAN DPM
Title: OWNER
Phone: (313) 295-1620
Address
Address
9300 Pardee Rd SUITE A, Taylor, MI 48180
National Provider ID: 1750564050
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SCOTT GRODMAN D.P.M., PC

Taylor, MI

Registration:
Aug 28, 2000
Addresses:
9300 Pardee SUITE A, Taylor, MI 48180 (Physical)
9300 Pardee STE A, Taylor, MI 48180 (Mailing)
State ID:
47032A
Business type:
Domestic Professional Service Corporation
Agent:
Scott Grodman

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