Organization
DR WALA MEDICAL CLINIC PLC
Active
Other names
Dr Wala Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED AMJAD RANGINWALA M.D (OWNER)
(574) 335-9177
Entity
Organization
Contact information
Practice address
106 S LOWE ST, DOWAGIAC, MI 49047-1624
(574) 335-9177
Mailing address
14360 WYNSTONE CT, GRANGER, IN 46530-4202
(574) 335-9177
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301088022
MI
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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