Organization
OAK NEUROVASCULAR P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUSHAR TRIPATHI (BILLING SUPERVISOR)
(313) 369-3379
Entity
Organization
Contact information
Practice address
24361 GREENFIELD RD, SUITE 202, SOUTHFIELD, MI 48075-3139
(313) 369-3379
Mailing address
PO BOX 2300, FARMINGTON HILLS, MI 48333-2300
(248) 320-1744
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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