Individual
INDU BALA MITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 WOOD DUCK LN, ROSEBURG, OR 97471-7845
(248) 535-2663
Mailing address
104 WOOD DUCK LN, ROSEBURG, OR 97471-7845
(248) 535-2663
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301034393
MI
Other
Enumeration date
01/04/2016
Last updated
01/05/2016
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