Organization
PSYCHIATRIC CONSULTANTS OF GRAND BLANC PLLC
Active
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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