Individual
JUDY INDRAKUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 E PICKARD ST, MT PLEASANT, MI 48858-2078
(989) 775-1610
(989) 775-1640
Mailing address
4851 E PICKARD ST, MT PLEASANT, MI 48858-2078
(989) 775-1610
(989) 775-1640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301094609
MI
Other
Enumeration date
06/29/2009
Last updated
10/29/2012
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