Individual
JEET VIJAY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4020 VENOY RD STE 400, WAYNE, MI 48184-1891
(734) 519-5200
Mailing address
4020 VENOY RD STE 400, WAYNE, MI 48184-1891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704383840
MI
363L00000X
Nurse Practitioner
Primary
209.035130
IL
Other
Enumeration date
03/03/2026
Last updated
03/27/2026
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