| Surendra Kaul, M.d.-p.c. | |
|
555 W Wackerly St Suite 3625 Midland MI 48640-4722 | |
| (989) 835-8625 | |
| (989) 839-8864 |
| Full Name | Surendra Kaul, M.d.-p.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 555 W Wackerly St, Midland, Michigan |
| Authorized Official Name and Position | Surendra Kaul (PRESIDENT) |
| Authorized Official Contact | 9898358625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surendra Kaul, M.d.-p.c. 555 W. Wackerly Street Suite 3625 Midland MI 48640-4715 Ph: (989) 835-8625 | Surendra Kaul, M.d.-p.c. 555 W Wackerly St Suite 3625 Midland MI 48640-4722 Ph: (989) 835-8625 |
| NPI Number | 1023202637 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023202637 | NPI | - | NPPES |
| 138442210 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 4301039896 (Michigan) | Primary |
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