Individual
DR. POOJA JAGDISH MUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
22250 PROVIDENCE DR STE 301A, SOUTHFIELD, MI 48075-6211
(248) 849-3254
Mailing address
22250 PROVIDENCE DR STE 301A, SOUTHFIELD, MI 48075-6211
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5151016492
MI
Other
Enumeration date
06/04/2020
Last updated
07/02/2023
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