Organization
NORTHWEST SURGICAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDIP ATWAL DO (OWNER)
(586) 596-8884
Entity
Organization
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-3300
Mailing address
149 ALLENHURST AVE, ROYAL OAK, MI 48067-3270
(586) 596-8884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101012641
MI LICENSE
MI
Enumeration date
09/18/2020
Last updated
12/21/2023
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