Balasubramaniam Sundaram

NPI 1063604536 - Physical Therapist - 225100000X

NPI Details
NPI 1063604536
Gender Male
Enumeration Date 08/17/2007
Last Updated 08/17/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
23575 15 MILE RD
CLINTON TOWNSHIP MI, 48035-3108, US
Phone (586) 791-2740
Fax
Business Location
23575 15 MILE RD
CLINTON TOWNSHIP MI, 48035-3108, US
Phone (586) 791-2740
Fax
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501006387
Remove 1063604536 NPI Number
 

According to our database, Balasubramaniam Sundaram NPI is 1063604536, taxonomy code is 225100000X and license number is 5501006387, license state is located at Michigan. Balasubramaniam Sundaram physically located at 23575 15 Mile Rd, Clinton Township MI, 48035-3108. NPI Number Balasubramaniam Sundaram has the Individual type.

Sponsored links

1063604536 NPI number is provided on an as is basis without warranty of any kind. 1063604536 is maintained by the National Plan & Provider Enumeration System. The contents of Balasubramaniam Sundaram are for informational purposes only.