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1386033272
MADANA JEEVANANDAM
DETROIT, MI
NPI
1386033272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: MI 4301-106057)
Enumeration Date
2015-01-14
Last Update Date
2015-02-15
Business Address
Dr. MADANA JEEVANANDAM M.D.
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 514-515-8052
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Mailing Address
Dr. MADANA JEEVANANDAM M.D.
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 514-515-8052
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