License holder summary

DAVID GERARD PROVAZNIK is a Osteopathic Medicine & Surgery - Osteopathic Educational Limited licensed to practice in Michigan.

Department of Licensing and Regulatory Affairs

Board of Medicine

DAVID GERARD PROVAZNIK
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
License number
5101010015
Class
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
Status
Voided
Address
michiganmedical.net
ID 39124321
LAST UPDATED 2024-02-20 22:22:16 UTC

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