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Individual

SRUTHI JINNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
TRINITY HEALTH IHA MEDICAL GROUP ENDOCRINOLOGY, 19000 ST JOE'S PARKWAY STE 300, LIVONIA, MI 48152-1477
(734) 884-5196
(248) 696-3175
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 884-5196
(248) 696-3175

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301102959
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301102959
MI
208000000X
Pediatrics Physician
4301102959
MI

Other

Enumeration date
07/15/2013
Last updated
08/16/2023
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