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1164435145
SURESH K SHANMUGAVELU
SOUTHFIELD, MI
NPI
1164435145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501007122)
Enumeration Date
2006-08-14
Last Update Date
2022-10-19
Business Address
SURESH K SHANMUGAVELU PT, DPT
29950 TELEGRAPH RD
SOUTHFIELD, MI 48034-1355
Phone number: 800-974-4378
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Mailing Address
SURESH K SHANMUGAVELU PT, DPT
24014 W RENWICK RD STE F
PLAINFIELD, IL 60544-8708
Phone number: 800-974-4378
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