VISITING PHYSICIAN P.C.
Physician Assistant at Greenfield Rd, Detroit, MI

License number
Michigan 4301076297
Category
Physician Assistant
Type
Adult Health
Owner
Name: DR. SUNANDA NIOGUY M.D
Title: PRESIDENT/OWNER
Phone: (248) 289-6651
Address
Address
21700 Greenfield Rd, Detroit, MI 48237
National Provider ID: 1669634358
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VISITING PHYSICIAN P.C. at bizstanding.com

VISITING PHYSICIAN, PC

Rochester, MI  -  Detroit, MI

Status:
Inactive
Registration:
Jun 12, 2008
Addresses:
1875 Windwood Dr APT # 203, Rochester, MI 48307 (Physical)
21700 Greenfield Rd STE # 240, Oak Park, MI 48237 (Mailing)
State ID:
01694L
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2011
Agent:
Dr Sunanda Nioguy

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