Individual
AMRISH JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN ST, PEDIATRIC NEPHROLOGY,CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT, MI 48201-2119
(313) 745-5604
Mailing address
4201 ST. ANTOINE - UHC 5D MAILBOX 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
4301085106
MI
Other
Enumeration date
06/12/2007
Last updated
01/20/2017
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