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Organization
DMC/WSU
Active
Organization
DMC/WSU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANUPAM GUPTA (RESIDENT)
(734) 330-6042
Entity
Organization
Contact information
Practice address
6001 W OUTER DR, STE 114, DETROIT, MI 48235-2614
(313) 966-8470
Mailing address
2963 RIVER MEADOW CIR, CANTON, MI 48188-2332
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301085802
MI
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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