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Individual

JANE ANNE-VARGHESE PHILIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
29370 PLYMOUTH RD, LIVONIA, MI 48150-2399
(734) 655-8200
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301503077
MI
208000000X
Pediatrics Physician
4301503077
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/04/2016
Last updated
10/28/2021
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