Organization
DETROIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIREETI POTU M.D (FELLOW)
(713) 657-5012
Entity
Organization
Contact information
Practice address
39180 CITATION PL, APT # 35104, FARMINGTON HILLS, MI 48331-4901
(713) 657-5012
Mailing address
39180 CITATION PL, APT # 35104, FARMINGTON HILLS, MI 48331-4901
(713) 657-5012
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
4301094041
MI
Other
Enumeration date
08/02/2009
Last updated
08/02/2009
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