| NPI | 1124667316 |
|---|---|
| Doing Business As | INDEPENDENCE MEDICAL PLLC |
| Entity Type | Organization |
| Authorized Contact | RON KATTOO Sole Owner 248-962-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |