Individual
SRUTI AIYASWAMY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5870
Mailing address
251 N SYDNEY CT, PLYMOUTH, MI 48170-4958
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
5101026208
MI
208D00000X
General Practice Physician
5101026208
MI
Other
Enumeration date
02/14/2018
Last updated
11/05/2025
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