Organization
SUDHA BANSAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHA BANSAL M.D. (OWNER)
(517) 264-5820
Entity
Organization
Contact information
Practice address
415 MILL RD, ADRIAN, MI 49221-1764
(517) 264-5820
(517) 264-0311
Mailing address
PO BOX 1476, ADRIAN, MI 49221-7476
(517) 264-5820
(517) 264-0311
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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