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Organization

SATISH GUPTA MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVE GUPTA M.D. (PHYSICIAN)
(517) 484-2261
Entity
Organization

Contact information

Practice address
1100 W SAGINAW ST, SUITE 620, LANSING, MI 48915-2033
(517) 484-2261
(517) 484-6666
Mailing address
1100 W SAGINAW ST, SUITE 620, LANSING, MI 48915-2033
(517) 484-2261
(517) 484-6666

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301102279
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1641735
MI
Enumeration date
10/10/2013
Last updated
10/10/2013
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