Individual
VIBHANGINI SANJAY WASADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(248) 549-2110
(248) 546-2157
Mailing address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(248) 549-2110
(248) 546-2157
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301088947
MI
2084N0600X
Clinical Neurophysiology Physician
4301088947
MI
Other
Enumeration date
06/18/2007
Last updated
10/19/2023
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