Organization
PSYCHIATRIC CONSULTANTS OF GRAND BLANC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNA SURAPANENI MD (OWNER)
(810) 445-8405
Entity
Organization
Contact information
Practice address
8305 S SAGINAW ST STE 6, GRAND BLANC, MI 48439-1894
(810) 445-8405
Mailing address
8305 S SAGINAW ST STE 6, GRAND BLANC, MI 48439-1894
(810) 445-8405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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