| NPI | 1548207467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KULDIP S. DEOGUN President 586-997-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-01-09 |