Basic Information
| Provider Information | |||||||||
| NPI: | 1326534215 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUTT | ||||||||
| FirstName: | HARSIMRANJIT | ||||||||
| MiddleName: | SINGH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 E MICHIGAN AVE STE 245 | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489121897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173645710 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1200 E MICHIGAN AVE STE 245 | ||||||||
| Address2: | |||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489121897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173645710 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2018 | ||||||||
| LastUpdateDate: | 07/03/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 4301116171 | MI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.