Organization
PENNVIEW MEDICAL CLINIC,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHWIN N RAVAL MD (DOCTOR)
(734) 285-5280
Entity
Organization
Contact information
Practice address
12611 PENNSYLVANIA RD, RIVERVIEW, MI 48193-4224
(734) 285-5280
(734) 285-6730
Mailing address
12611 PENNSYLVANIA RD, RIVERVIEW, MI 48193-4224
(734) 285-5280
(734) 285-6730
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
035652
MI
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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