Organization
INDEPENDENCE MEDICAL PLLC
Active
Other names
Independence Medical PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RON KATTOO MD (SOLE OWNER)
(248) 962-8471
Entity
Organization
Contact information
Practice address
6255 INKSTER RD STE 101, GARDEN CITY, MI 48135-2538
(248) 962-8471
(248) 658-8777
Mailing address
4016 PARKWOOD CT, BLOOMFIELD HILLS, MI 48301-3967
(248) 962-8471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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