Organization
JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Active
Organization
JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANT JAGANNATHAN MD (PRESIDENT)
(248) 792-6527
Entity
Organization
Contact information
Practice address
4 COLUMBUS AVE STE 260, BAY CITY, MI 48708-6476
(989) 308-1840
(989) 391-4170
Mailing address
DEPT 771749 PO BOX 77000, DETROIT, MI 48277-2000
(248) 792-6527
(248) 792-9106
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356680912
—
MI
Enumeration date
12/11/2019
Last updated
12/06/2024
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