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Individual

DR. ASHOK GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2111 ORCHARD LAKE RD, SYLVAN LAKE, MI 48320-1785
(248) 681-6577
(248) 732-7136
Mailing address
PO BOX 645, KEEGO HARBOR, MI 48320-0645
(248) 681-6577
(248) 732-7136

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301042770
MI

Other

Enumeration date
01/23/2007
Last updated
03/25/2013
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