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1124212956
VISHNAMPET SVERAMANIAM THYAGARAJAN
JACKSON, MI
NPI
1124212956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301031692)
Enumeration Date
2007-09-05
Last Update Date
2007-09-05
Business Address
Mr. VISHNAMPET SVERAMANIAM THYAGARAJAN MD
HEALTH CLINIC EGLER FACILITY STATE PRISON
JACKSON, MI 49201
Phone number: 517-780-5991
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Mailing Address
Mr. VISHNAMPET SVERAMANIAM THYAGARAJAN MD
3360 WESTLANE
JACKSON, MI 49203
Phone number: 517-782-2082
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