Individual
BALASUBRAMANIAM SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23575 15 MILE RD, CLINTON TOWNSHIP, MI 48035-3108
(586) 791-2740
Mailing address
23575 15 MILE RD, CLINTON TOWNSHIP, MI 48035-3108
(586) 791-2740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006387
MI
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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