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1093790867
JAGANNADHARAO DIVVELA
STERLING HEIGHTS, MI
NPI
1093790867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301039338)
Enumeration Date
2005-12-14
Last Update Date
2007-07-08
Business Address
-- JAGANNADHARAO DIVVELA MD
8244 METROPOLITAN PKWY SUITE C
STERLING HEIGHTS, MI 48312-2778
Phone number: 586-795-4060
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Mailing Address
-- JAGANNADHARAO DIVVELA MD
8244 METROPOLITAN PKWY SUITE C
STERLING HEIGHTS, MI 48312-2778
Phone number: 586-795-4060
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