Organization
NORTHVILLE OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTHI R NICHANAMETLA M.D. (OWNER)
(734) 446-1045
Entity
Organization
Contact information
Practice address
47311 FIVE MILE RD, PLYMOUTH, MI 48170-3768
(734) 446-1045
(734) 981-9028
Mailing address
47311 FIVE MILE RD, PLYMOUTH, MI 48170-3768
(734) 446-1045
(734) 981-9028
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MI
Other
Enumeration date
02/03/2011
Last updated
06/20/2018
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