NPI | 1316775430 |
---|---|
Doing Business As | REVIVAL MEDICAL,PLLC |
Entity Type | Organization |
Authorized Contact | PARMINDER SINGH JASWAL Owner 989-284-6938 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-07-22 |
Last Update Date | 2024-07-22 |