Jeffrey Louis Provizer
ActiveMichigan license 5101013058
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101013058
- Status
- Active
- First issued
- December 4, 1997
- Expires
- December 4, 2029
- License holder
- Jeffrey Louis Provizer
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons
Contact
32255 Northwestern Hwy
Suite #130
Farmington Hills, MI 48334-1566
Suite #130
Farmington Hills, MI 48334-1566
Oakland County