Individual
MANSI RAJPUROHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4400
Mailing address
50569 AMBERWOOD RD, CANTON, MI 48188-2580
(734) 644-1827
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
4704273041
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704273041
MI
Other
Enumeration date
02/13/2020
Last updated
04/15/2020
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