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1073501821
VASUDEVARAO MANDAVA
MOUNT CLEMENS, MI
NPI
1073501821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI VM031566)
Enumeration Date
2005-10-06
Last Update Date
2020-09-24
Business Address
Dr. VASUDEVARAO MANDAVA M.D
18 MARKET ST SUITE C
MOUNT CLEMENS, MI 48043
Phone number: 586-783-2222
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Mailing Address
Dr. VASUDEVARAO MANDAVA M.D
6800 E 10 MILE RD
CENTER LINE, MI 48015-1167
Phone number: 586-619-9986
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