Organization
BAL K GUPTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAL KRISHAN GUPTA MD (PRESIDENT)
(586) 573-5300
Entity
Organization
Contact information
Practice address
11900 E TWELVE MILE RD, SUITE 111, WARREN, MI 48093-3472
(586) 573-5300
(586) 573-5304
Mailing address
11900 E TWELVE MILE RD, SUITE 111, WARREN, MI 48093-3472
(586) 573-5300
(586) 573-5304
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301037633
MI
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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