LATHA SREE POLAVARAM

GRAND RAPIDS, MI
NPI1194934802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: MI  4301083922)
Enumeration Date2007-05-21
Last Update Date2020-03-17
Business Address
LATHA SREE POLAVARAM MD
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503-2563
Phone number: 616-954-9800
Mailing Address
LATHA SREE POLAVARAM MD
5800 FOREMOST DR SE STE 300
GRAND RAPIDS, MI 49546-7062
Phone number: 616-954-9800
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