# POINTE MEDICAL CENTER PC

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

## Provider details

- **NPI number:** 1689850133
- **Authorized official:** SRINIVAS PULAPAKA (BILLING SUPERVISOR)
- **Authorized official phone:** (313) 882-0640

## Contact information

- **Practice address:** 20160 MACK AVE, GROSSE POINTE WOODS, MI 48236-1822
- **Practice address phone:** (313) 882-0640
- **Practice address fax:** (313) 882-3106
- **Mailing address:** 20160 MACK AVE, GROSSE POINTE WOODS, MI 48236-1822
- **Mailing address phone:** (313) 882-0640
- **Mailing address fax:** (313) 882-3106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/15/2008
