Organization
JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANT JAGANNATHAN M.D (PRESIDENT)
(906) 253-1341
Entity
Organization
Contact information
Practice address
309 W 12TH AVE, SUITE 102, SAULT SAINTE MARIE, MI 49783-2886
(906) 253-1341
Mailing address
DEPT 771749, PO BOX 77000, DETROIT, MI 48277-1749
(906) 253-1341
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301095038
MI
Other
Enumeration date
12/23/2015
Last updated
02/18/2016
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