Individual
JUSTINE AUXILIA IRENE CHINNAPPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3707
(248) 849-3541
(248) 849-2899
Mailing address
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3707
(248) 849-3541
(248) 849-2899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.151234
OH
207RH0003X
Hematology & Oncology Physician
Primary
4301514206
MI
Other
Enumeration date
04/22/2021
Last updated
05/06/2025
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