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Organization
QMJ MEDICAL CENTER PC
Active
Organization
QMJ MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRITI PADAMANABHA SHETTY (BILLER)
(248) 787-1137
Entity
Organization
Contact information
Practice address
26237 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-4546
(248) 945-1962
(248) 945-1963
Mailing address
49902 TAHOE WAY, CANTON, MI 48187-4483
(248) 787-1137
(248) 962-3496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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