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Organization
INDEPENDENCE MEDICAL PLLC
Active
Organization
INDEPENDENCE MEDICAL PLLC
Active
Other names
Independence Medical PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RON KATTOO MD (SOLE OWNER)
(248) 962-8471
Entity
Organization
Contact information
Practice address
6255 INKSTER RD STE 101, GARDEN CITY, MI 48135-2538
(248) 962-8471
(248) 658-8777
Mailing address
4016 PARKWOOD CT, BLOOMFIELD HILLS, MI 48301-3967
(248) 962-8471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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