Individual
DR. MANDIP S ATWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1030 HARRINGTON ST, 302A, MOUNT CLEMENS, MI 48043-2967
(586) 759-2005
(586) 759-2636
Mailing address
1030 HARRINGTON ST, SUITE 302A, MOUNT CLEMENS, MI 48043-2967
(586) 759-2005
(586) 759-2636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA012641
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255004485
BCBS PIN
MI
01
—
0255010915
BCBS
MI
05
—
114528179
—
MI
Enumeration date
01/23/2006
Last updated
05/26/2015
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