Individual
DR. JAY DHIRENDRA VASANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3234
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301103217
MI
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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