Organization
MANILAL O MEWADA MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANILAL O MEWADA MD (PRESIDENT)
(810) 743-5400
Entity
Organization
Contact information
Practice address
4001 WALLI STRASSE DR, SUITE C, BURTON, MI 48509-1729
(810) 743-5400
(810) 743-5474
Mailing address
4001 WALLI STRASSE DR, SUITE C, BURTON, MI 48509-1729
(810) 743-5400
(810) 743-5474
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MM041950
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1566962
—
MI
Enumeration date
07/27/2010
Last updated
07/27/2010
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