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Individual

SUJAAY HARI JAGANNATHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 432-9277
(517) 432-9414
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 432-9277
(517) 432-9414

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5151015564
MI

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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