Organization
JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANT JAGANNATHAN M.D. (PRESIDENT)
(734) 458-3614
Entity
Organization
Contact information
Practice address
6255 INKSTER RD, SUITE 206, GARDEN CITY, MI 48135-2577
(734) 458-3614
Mailing address
DEPT 771749, P.O BOX 77000, DETROIT, MI 48277-1749
(734) 458-3614
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301095038
MI
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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