Organization
JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANT JAGANNATHAN M.D. (PRESIDENT)
(989) 343-3178
Entity
Organization
Contact information
Practice address
2333 PROGRESS ST, WEST BRANCH, MI 48661-9384
(989) 343-3178
(989) 343-3293
Mailing address
DEPT 771749, PO BOX 77000, DETROIT, MI 48277-1749
(989) 343-3178
(989) 343-3293
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301095038
MI
Other
Enumeration date
11/24/2015
Last updated
12/05/2024
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