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Organization

TG D.O.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER SINISHTAJ (COO)
(586) 445-9900
Entity
Organization

Contact information

Practice address
19699 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
(586) 445-9900
(586) 445-2641
Mailing address
19699 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
(586) 445-9900
(586) 445-2641

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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