Organization
HARANATH POLICHERLA M.D. PC
Active
Other names
pointe neurology
Organization subpart
No
Provider details
NPI number
Authorized official
HARANATH POLICHERLA MD ACP (PRESIDENT)
(313) 882-0640
Entity
Organization
Contact information
Practice address
20160 MACK AVE, GROSSE POINTE WOODS, MI 48236-1822
(313) 882-0640
(313) 882-3106
Mailing address
20160 MACK AVE, GROSSE POINTE WOODS, MI 48236-1822
(313) 882-0640
(313) 882-3106
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP050806
BLUE CROSS PIN#
MI
Enumeration date
06/25/2007
Last updated
12/05/2012
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