Organization
SURENDRA KAUL, M.D.-P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURENDRA KAUL M.D. (PRESIDENT)
(989) 835-8625
Entity
Organization
Contact information
Practice address
555 W WACKERLY ST, SUITE 3625, MIDLAND, MI 48640-4722
(989) 835-8625
(989) 839-8864
Mailing address
555 W. WACKERLY STREET, SUITE 3625, MIDLAND, MI 48640-4715
(989) 835-8625
(989) 839-8864
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301039896
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138442210
—
MI
Enumeration date
08/28/2007
Last updated
10/20/2011
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