Individual
JANSI LAKSHMI WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25689 KELLY RD STE 100, ROSEVILLE, MI 48066-4993
(586) 445-5995
(877) 673-3562
Mailing address
50505 SCHOENHERR RD STE 290, SHELBY TWP, MI 48315-3141
(586) 314-0080
(877) 673-3562
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301116853
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301116853
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301116853
MI
Other
Enumeration date
06/07/2013
Last updated
03/11/2025
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