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Organization

OKEMOS PRIMARY CARE PHYSICIANS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUDHA R YENUMULA M.D. (PRESIDENT AND CEO)
(517) 708-7283
Entity
Organization

Contact information

Practice address
2104 JOLLY RD, SUITE 290, OKEMOS, MI 48864-6038
(517) 708-7283
(517) 708-7294
Mailing address
2104 JOLLY RD, SUITE 290, OKEMOS, MI 48864-6038
(517) 708-7283
(517) 708-7294

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301087786
MI

Other

Enumeration date
11/02/2008
Last updated
05/28/2009
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