Individual
SURENDRA KAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 W WACKERLY ST, SUITE 3625, MIDLAND, MI 48640-4710
(989) 835-8625
(989) 839-8864
Mailing address
555 W WACKERLY ST, SUITE 3625, MIDLAND, MI 48640-4710
(989) 835-8625
(989) 839-8864
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301039896
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1384422
—
MI
Enumeration date
07/14/2005
Last updated
10/20/2011
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