SAILAJA DATLA MD PLC

SAINT CLAIR SHORES, MI
NPI1881928455
Entity TypeOrganization
Authorized ContactSAILAJA DATLA
Owner
586-445-3706
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  sd070545)
Enumeration Date2009-09-29
Last Update Date2009-09-29
Business Address
SAILAJA DATLA MD PLC
21519 HARPER AVE STE 108
SAINT CLAIR SHORES, MI 48080-2220
Phone number: 586-445-3706
Mailing Address
SAILAJA DATLA MD PLC
21519 HARPER AVE STE 108
SAINT CLAIR SHORES, MI 48080-2220
Phone number: 586-445-3706
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