Individual
SUNEETHA V DUTTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3990 JOHN R ST, 6 HUDSON, DETROIT, MI 48201-2018
(313) 745-7521
Mailing address
3800 WOODWARD AVE, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301079722
MI
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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