Organization
JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANT JAGANNATHAN (PRESIDENT)
(248) 733-9904
Entity
Organization
Contact information
Practice address
1221 SOUTH DR, MOUNT PLEASANT, MI 48858-3257
(989) 308-1840
(989) 391-4170
Mailing address
DEPT 771749 PO BOX 77000, DETROIT, MI 48277
(989) 308-1840
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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