Individual
JOHN SANTOSH KUMAR MURALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 11TH FLOOR CS MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-4204
(734) 936-4978
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301106595
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301106595
MI
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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