Organization
WOODWARD GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUSAR KISHORE DESAI MD (OWNER)
(248) 229-8354
Entity
Organization
Contact information
Practice address
1695 12 MILE RD, SUITE 220, BERKLEY, MI 48072-2182
(248) 229-8354
Mailing address
1257 CLUB DR, BLOOMFIELD HILLS, MI 48302-0907
(248) 229-8354
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301044285
MI
Other
Enumeration date
12/23/2013
Last updated
03/07/2014
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