Individual
MITHUN KOTRESH NERAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6815 DIXIE HWY STE 1, CLARKSTON, MI 48346-2092
(248) 384-8350
(248) 384-8351
Mailing address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD61071240
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD61071240
WA
Other
Enumeration date
04/24/2014
Last updated
01/25/2023
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