Individual
ARADHANA THYAGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
17000 KING RD, BROWNSTOWN TWP, MI 48183-1115
(734) 362-9032
Mailing address
9911 GARDEN ST, LIVONIA, MI 48150-3110
(734) 427-3769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004923
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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