Individual
SANJULA SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4133 SEYMOUR DR, TROY, MI 48098-4395
(248) 376-9271
Mailing address
4133 SEYMOUR DR, TROY, MI 48098-4395
(248) 376-9271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704291952
MI
363L00000X
Nurse Practitioner
Primary
4704291952
MI
Other
Enumeration date
10/14/2015
Last updated
09/28/2022
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