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Organization
SCOTT CORRECTIONL FACILITY
Active
Organization
SCOTT CORRECTIONL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUNA BAVINENI MD (STAFF PSYCHIATRIST)
(734) 459-7400
Entity
Organization
Contact information
Practice address
47500 FIVE MILE RD, PLYMOUTH, MI 48170-2487
(734) 459-7400
Mailing address
3425 CHEROKEE TRL, YPSILANTI, MI 48198-9498
(734) 481-0239
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
4301059562
MI
Other
Enumeration date
07/26/2006
Last updated
07/13/2007
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