Individual
VIMAL P PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 WOODBRIDGE ST, DETROIT, MI 48226-4364
(313) 568-1433
(313) 568-0155
Mailing address
600 WOODBRIDGE ST, DETROIT, MI 48226-4364
(313) 568-1433
(313) 568-0155
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301032313
MI
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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