Organization
UNION LAKE MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAT DANIEL M.D. (OWNER)
(248) 363-7109
Entity
Organization
Contact information
Practice address
1990 UNION LAKE RD STE 100, COMMERCE TOWNSHIP, MI 48382-2200
(248) 363-7109
(248) 363-7211
Mailing address
1990 UNION LAKE RD STE 100, COMMERCE TOWNSHIP, MI 48382-2200
(248) 363-7109
(248) 363-7211
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RD060871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3245750
—
MI
Enumeration date
03/07/2007
Last updated
08/22/2020
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