Individual
DR. GURU KANDASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1121 LAKE SHORE CIR, GRAND BLANC, MI 48439-8044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301112280
MI
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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