DIVI MD PC

SOUTHFIELD, MI
NPI1972527026
Entity TypeOrganization
Authorized ContactTHULASI S DIVI
Owner/President
248-528-1555
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301062122)
Enumeration Date2006-07-26
Last Update Date2009-12-14
Business Address
DIVI MD PC
20755 GREENFIELD RD STE #1004
SOUTHFIELD, MI 48075-5403
Phone number: 248-424-5090
Mailing Address
DIVI MD PC
20755 GREENFIELD ROAD STE # 1004
SOUTHFIELD, MI 48075-5411
Phone number: 248-424-5090