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Organization

JEETENDER MATHARU MD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEETENDER S MATHARU M.D. (OWNER)
(248) 620-3500
Entity
Organization

Contact information

Practice address
7250 DIXIE HWY, STE 100, CLARKSTON, MI 48346-5108
(248) 620-3500
(248) 620-3503
Mailing address
7250 DIXIE HWY, STE 100, CLARKSTON, MI 48346-5108
(248) 620-3500
(248) 620-3503

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301070179
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4483424
MI
Enumeration date
08/05/2007
Last updated
01/26/2012
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