BIJU POULOSE

TROY, MI
NPI1760876601
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  4301107319)
Enumeration Date2015-03-27
Last Update Date2019-06-24
Business Address
BIJU POULOSE MD
2525 CROOKS RD STE 100
TROY, MI 48084-4733
Phone number: 248-731-7305
Mailing Address
BIJU POULOSE MD
2525 CROOKS RD STE 100
TROY, MI 48084-4733
Phone number: 248-731-7305
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