Individual
DR. MEGHNA S PATHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
210 N LAFAYETTE ST, SOUTH LYON, MI 48178-2048
(248) 437-1744
Mailing address
6834 ARDSLEY DR, CANTON, MI 48187-3028
(734) 664-1046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301094155
MI
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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