Organization
NORTHWEST CRITICAL CARE SURGEONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATWAL MANDIP MD (MANAGER)
(248) 353-0200
Entity
Organization
Contact information
Practice address
27209 LAHSER RD, SUITE 128, SOUTHFIELD, MI 48034-8401
(248) 353-0200
Mailing address
PO BOX 44047, DETROIT, MI 48244-0047
(248) 543-8070
(248) 543-9005
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
4301051142
MI
Other
Enumeration date
06/20/2006
Last updated
12/15/2011
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