Michigan
Ingham
Lansing
Surgery: General
canceled
G21489
male
1964
medical activities:
no activities identified
license issued on October 5, 1971;
Surgeon (General)
Specialist for: General Surgery
Northwestern University Medical School (graduated in 1964)
Graduated in year 1964, Medical School: Northwestern University Medicine School, Chicago, IL 60611
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Profile ID: FRUS-MDS-P-202132