OMED PHYSICIANS GROUP PC
Marriage and Family Therapists at Northwestern Hwy, Southfield, MI

License number
Michigan 4301060904
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. SURINDER MENDIRATA M.D.
Title: PRESIDENT/OWNER
Phone: (248) 809-6806
Address
Address
23155 Northwestern Hwy SUITE 104, Southfield, MI 48075
National Provider ID: 1962836957
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OMED PHYSICIANS GROUP, PC

Southfield, MI  -  Bingham Farms, MI

Registration:
Sep 25, 2012
Addresses:
23155 Northwestern Hwy STE 104, Southfield, MI 48075 (Physical)
PO Box 250668, Franklin, MI 48025 (Mailing)
State ID:
04785N
Business type:
Domestic Professional Service Corporation
Agent:
Surinder Mendiratta

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