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1528005899
VIDYULATHA TALLA
GRAND RAPIDS, MI
NPI
1528005899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301076913)
Enumeration Date
2006-06-02
Last Update Date
2021-06-15
Business Address
VIDYULATHA TALLA MD
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506-2969
Phone number: 616-774-0276
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Mailing Address
VIDYULATHA TALLA MD
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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