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Individual

SWARUP MISRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
27351 DEQUINDRE RD, MADISON HTS, MI 48071-3487
(248) 967-7795
(248) 967-7794
Mailing address
27351 DEQUINDRE RD, MADISON HTS, MI 48071-3487
(248) 967-7795
(248) 967-7794

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101017802
MI
207R00000X
Internal Medicine Physician
5101017802
MI

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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