Michigan Moonlighters Pllc

NPI #1174178420 in Pontiac, Michigan

Provider Information

NPI Number: 1174178420
Entity Type: Organization
Organization Name: Michigan Moonlighters Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Aug 5, 2019
Last Updated: Aug 5, 2019

Practice Location

Address: 44405 WOODWARD AVE
City: Pontiac
State: Michigan
ZIP Code: 48341-5023
Phone: (248) 858-3000

Authorized Official

Name: RAJINDER GREWAL
Title: PRESIDENT
Phone: (248) 627-8881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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