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1528635000
PRANISH KANTAK
DETROIT, MI
NPI
1528635000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351048706)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
Dr. PRANISH KANTAK MD MPH
2799 W. GRAND BOULEVARD
DETROIT, MI 48202-2608
Phone number: 313-916-1093
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Mailing Address
Dr. PRANISH KANTAK MD MPH
2799 W. GRAND BOULEVARD
DETROIT, MI 48202-2608
Phone number: 313-916-1093
Copy
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