Individual
TEJAS BONDADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
965 FEE RD RM A233, EAST LANSING, MI 48824-6410
(517) 353-4362
Mailing address
965 FEE RD RM A233, EAST LANSING, MI 48824-6410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101022510
MI
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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