BALAJI VUTLA

GRAND RAPIDS, MI
NPI1740442219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301100194)
Enumeration Date2008-06-26
Last Update Date2024-08-07
Business Address
BALAJI VUTLA M.D., M.P.H.
100 MICHIGAN ST NE # A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
Mailing Address
BALAJI VUTLA M.D., M.P.H.
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790