Individual
JAGRUTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25710 KELLY RD, SUITE 3, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Mailing address
25710 KELLY RD, SUITE 3, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704178330
MI
363LG0600X
Gerontology Nurse Practitioner
4704178330
MI
Other
Enumeration date
12/16/2015
Last updated
02/17/2016
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