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Leela Suruli Md Pc
Gynecology Physician in Wayne, Michigan
NPI 1548483043

Leela Suruli Md Pc is a Gynecology Physician based in Wayne, MI and is specialized in Gynecology. Leela Suruli Md Pc practices in Wayne, MI. The NPI Number for Leela Suruli Md Pc is 1548483043 and holds a License No. LS032052 (Michigan).

The current practice location address for Leela Suruli Md Pc is 4811 Venoy Rd, Wayne, MI and can be reached out via phone at 734-721-0707.

Location: 4811 Venoy Rd, Wayne, MI, 48184-2675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548483043
Provider Name
Leela Suruli Md Pc
Credential
Provider Entity Type
Organization
Address
4811 Venoy Rd, Wayne, MI, 48184-2675
Phone Number
734-721-0707
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1735312 05 MI
institution
Provider Business Practice Location Address Details
Address
4811 Venoy Rd
City
Wayne
State
Michigan
Zip
48184-2675
Phone Number
734-721-0707
Fax Number
person
Provider Business Mailing Address Details
Address
4811 Venoy Rd
City
Wayne
State
Michigan
Zip
48184-2675
Phone Number
734-721-0707
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
LS032052 (Michigan)
Definition
Definition to come...
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