Organization
DIX EUREKA MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SITARAM KAURA MD (OWNER)
(248) 320-0071
Entity
Organization
Contact information
Practice address
14797 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 281-9950
(734) 281-4998
Mailing address
14797 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 281-9950
(734) 281-4998
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3365758
—
MI
Enumeration date
12/12/2007
Last updated
12/12/2007
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