Supra Vascular Associates PLC
Supra Vascular Associates PLC is a Specialist in Allen Park, Michigan. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
16507 Southfield RdAllen Park, MI 48101-2503
Phone: (313) 389-0648
Fax: (313) 389-3510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1811401045 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sudheer Ummadi — Manager · (313) 389-0648 |
| NPI enumerated | November 27, 2017 |
| Last updated in NPPES | January 30, 2019 |
| Mailing address | 16507 Southfield Rd, Allen Park, MI 48101-2503 |
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Mrs. Donna Rickman, OTR
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