Organization
PRIME RHEUMATOLOGY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALINI VENKATRAM MD (MD)
(734) 578-4642
Entity
Organization
Contact information
Practice address
1623 FORD AVE, WYANDOTTE, MI 48192-2303
(734) 389-7167
Mailing address
1623 FORD AVE, WYANDOTTE, MI 48192-2303
(734) 389-7167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
04/11/2016
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