Individual
ATUL C AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-3223
Mailing address
170 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-3223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301038422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4802508
—
MI
01
—
AA038422
BLUE CROSS
MI
Enumeration date
09/22/2006
Last updated
07/08/2007
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