# INDEPENDENCE MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Independence Medical PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124667316
- **Authorized official:** RON KATTOO MD (SOLE OWNER)
- **Authorized official phone:** (248) 962-8471

## Contact information

- **Practice address:** 6255 INKSTER RD STE 101, GARDEN CITY, MI 48135-2538
- **Practice address phone:** (248) 962-8471
- **Practice address fax:** (248) 658-8777
- **Mailing address:** 4016 PARKWOOD CT, BLOOMFIELD HILLS, MI 48301-3967
- **Mailing address phone:** (248) 962-8471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2020
- **Last updated:** 01/05/2020