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Organization
JAMES SIRAJUDDIN MD PC
Active
Organization
JAMES SIRAJUDDIN MD PC
Active
Other names
Riverside Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SIRAJUDDIN M.D. (PRESIDENT)
(269) 637-2102
Entity
Organization
Contact information
Practice address
203 CENTER ST, SOUTH HAVEN, MI 49090-1311
(269) 637-2102
(269) 637-3783
Mailing address
203 CENTER ST, SOUTH HAVEN, MI 49090-1311
(269) 637-2102
(269) 637-3783
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301039518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111690
—
MI
Enumeration date
10/18/2007
Last updated
04/01/2008
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