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Organization

JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC

Active
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Organization

JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC

Active
Parent organization
JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Authorized official
JAYANT JAGANNATHAN (PRESIDENT)
(248) 733-9904
Entity
Organization

Contact information

Practice address
502 W HARRIE ST FL 2, NEWBERRY, MI 49868-1209
(989) 701-2538
(989) 701-2540
Mailing address
DEPT 771749 PO BOX 77000, DETROIT, MI 48277

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447299797
MI
Enumeration date
10/01/2018
Last updated
10/01/2018
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