Southeast Michigan Medical Associates PC
NPI #1417001660 in Lathrup Village, Michigan
Provider Information
- NPI Number
- 1417001660
- Entity Type
- Organization
- Organization Name
- Southeast Michigan Medical Associates PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Feb 21, 2017
Practice Location
- Address
- 18451 W 12 MILE RD
- Address 2
- STE 200
- City
- Lathrup Village
- State
- Michigan
- ZIP Code
- 48076-2644
- Phone
- (248) 827-7612
Authorized Official
- Name
- ASHOK KUMAR BANSAL, M.D.
- Title
- PRESIDENT
- Phone
- (248) 827-7612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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