Individual
KIRTI JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15101 SOUTHFIELD RD, STE 102, ALLEN PARK, MI 48101-2664
(313) 935-9500
(313) 294-9416
Mailing address
4927 W POND CIR, WEST BLOOMFIELD, MI 48323-2279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301060400
MI
Other
Enumeration date
01/11/2006
Last updated
12/05/2016
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