Individual
DR. GANESH R DESHMUKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3106 S WAYNE RD, WAYNE, MI 48184
(734) 722-6300
(734) 722-4815
Mailing address
3106 S WAYNE RD, WAYNE, MI 48184
(734) 722-6300
(734) 722-4815
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
4301060887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3389212
—
MI
Enumeration date
11/23/2005
Last updated
10/22/2020
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