Individual
MAYURI SAXENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-1328
Mailing address
44405 WOODWARD AVE, MEDICAL EDUCATION - H23, PONTIAC, MI 48341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301505707
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351045042
MI
Other
Enumeration date
06/06/2019
Last updated
03/13/2024
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