# MICHIGAN MOONLIGHTERS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174178420
- **Authorized official:** RAJINDER GREWAL (PRESIDENT)
- **Authorized official phone:** (248) 627-8881

## Contact information

- **Practice address:** 44405 WOODWARD AVE, PONTIAC, MI 48341-5023
- **Practice address phone:** (248) 858-3000
- **Practice address fax:** (248) 627-8884
- **Mailing address:** 3700 PICCADILLY DR, ROCHESTER HILLS, MI 48309-4536
- **Mailing address phone:** (248) 627-8881
- **Mailing address fax:** (248) 627-8884

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2019
- **Last updated:** 08/05/2019