Organization
VISHNU PEMMARAJU, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHNU PEMMARAJU MD (OWNER)
(248) 635-5038
Entity
Organization
Contact information
Practice address
3106 S WAYNE RD, WAYNE, MI 48184-1221
(734) 722-6300
(734) 722-4815
Mailing address
3106 S WAYNE RD, WAYNE, MI 48184-1221
(734) 722-6300
(734) 722-4815
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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