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Individual

TILAK R GARG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2945 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1458
(248) 681-4200
(248) 681-0818
Mailing address
2945 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1458
(248) 681-4200
(248) 681-0818

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301036931
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1908316
MI
Enumeration date
10/03/2006
Last updated
07/08/2007
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