Individual
URMILA REVANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Mailing address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301514832
MI
Other
Enumeration date
05/03/2022
Last updated
07/21/2025
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