Organization
NORTH OAKLAND GASTROENTEROLOGY CLINIC PC
Active
Parent organization
NORTH OAKLAND GASTROENTEROLOGY CLINIC, PC
Other names
Premier Pathology (DBA)
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH OAKLAND GASTROENTEROLOGY CLINIC, PC
Authorized official
DR. KAMBIZ BRAL MD (MEDICAL DOCTOR)
(248) 844-2700
Entity
Organization
Contact information
Practice address
75 BARCLAY CIRCLE, SUITE 205, ROCHESTER HILLS, MI 48307-0020
(248) 844-2700
(248) 852-0806
Mailing address
PO BOX 81087, ROCHESTER, MI 48308-1087
(248) 844-2700
(248) 852-0806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KB063477
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306300410
—
MI
Enumeration date
05/01/2007
Last updated
05/13/2015
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