Organization
R.R. VEMURI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY GUTOWSKI (MEDICAL BILLER)
(734) 284-7563
Entity
Organization
Contact information
Practice address
13225 NORTHLINE RD, SOUTHGATE, MI 48195-1070
(734) 284-4555
(734) 284-6174
Mailing address
13225 NORTHLINE RD, SOUTHGATE, MI 48195-1070
(734) 284-4555
(734) 284-6174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RV050423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1766589
—
MI
Enumeration date
02/22/2007
Last updated
08/22/2020
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