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Individual

DR. SASCHA NILU GOONEWARDENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 998-7400
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301089960
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301089960
MI

Other

Enumeration date
07/25/2007
Last updated
01/04/2012
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