JAYASEELI BASTIN

GRAND RAPIDS, MI
NPI1437365897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301083851)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
-- JAYASEELI BASTIN M.D.
1840 WEALTHY ST SE MC 426
GRAND RAPIDS, MI 49506-2921
Phone number: 616-774-5221
Mailing Address
-- JAYASEELI BASTIN M.D.
PO BOX 1682
GRAND RAPIDS, MI 49501-1682
Phone number: 616-774-5221
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