JOSEPH CHACKO PUTHENTHARAYIL

DETROIT, MI
NPI1144024068
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5151017143)
Enumeration Date2025-04-01
Last Update Date2025-04-01
Business Address
JOSEPH CHACKO PUTHENTHARAYIL DO
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
Mailing Address
JOSEPH CHACKO PUTHENTHARAYIL DO
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number:
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