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1467142851
SHIVA SWAROOP BONGU
MOUNT CLEMENS, MI
NPI
1467142851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4351050725)
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
SHIVA SWAROOP BONGU MD
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043-2920
Phone number: 586-493-3727
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Mailing Address
SHIVA SWAROOP BONGU MD
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043-2920
Phone number: 586-493-3727
Copy
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