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Organization
NIDHI SHISHU
Active
Organization
NIDHI SHISHU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDHI SHISHU (OWNER)
(248) 840-8289
Entity
Organization
Contact information
Practice address
4521 RIVER TRL, BLOOMFIELD, MI 48301-3642
(248) 840-8289
Mailing address
4521 RIVER TRL, BLOOMFIELD, MI 48301-3642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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