Individual
DR. MRINAL SUPRIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6697 STILLWELL, WEST BLOOMFIELD, MI 48322-1364
(248) 882-5688
Mailing address
6697 STILLWELL, WEST BLOOMFIELD, MI 48322
(313) 577-0805
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301104012
MI
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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