Organization
BEECH DALY MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYALAKSMI THANDRA MD (PRESIDENT)
(313) 278-7750
Entity
Organization
Contact information
Practice address
23850 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-2325
(313) 278-7750
(313) 278-8729
Mailing address
23850 VANBRON, DEARBORN HEIGHTS, MI 48125-2325
(313) 278-7750
(313) 278-8729
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301058459
MI
Other
Enumeration date
04/06/2007
Last updated
02/20/2013
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