JAGANNADHARAO DIVVELA

STERLING HEIGHTS, MI
NPI1093790867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301039338)
Enumeration Date2005-12-14
Last Update Date2007-07-08
Business Address
-- JAGANNADHARAO DIVVELA MD
8244 METROPOLITAN PKWY SUITE C
STERLING HEIGHTS, MI 48312-2778
Phone number: 586-795-4060
Mailing Address
-- JAGANNADHARAO DIVVELA MD
8244 METROPOLITAN PKWY SUITE C
STERLING HEIGHTS, MI 48312-2778
Phone number: 586-795-4060