Organization
SUBBANA G. MUTHUSWAMI, MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBBANA GOUNDER MUTHUSWAMI MD (PRESIDENT)
(810) 987-5252
Entity
Organization
Contact information
Practice address
2603 ELECTRIC AVE, SUITE1, PORT HURON, MI 48060-6588
(810) 987-5252
(810) 987-2120
Mailing address
2603 ELECTRIC AVE, SUITE1, PORT HURON, MI 48060-6588
(810) 987-5252
(810) 987-2120
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301033903
MI
Other
Enumeration date
09/06/2007
Last updated
05/27/2008
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