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Organization
DETROIT MEDICAL CENTER
Active
Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASAD JOHN THOTTAM D.O. (RESIDENT)
(330) 936-6915
Entity
Organization
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-5027
Mailing address
1005 CATALPA DR, ROYAL OAK, MI 48067-1122
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5101018245
MI
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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