BALASUBRAMANIYAM PISUPATI

JACKSON, MI
NPI1669554382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
(Licence: MI  5501007541)
Enumeration Date2006-10-20
Last Update Date2008-02-26
Business Address
-- BALASUBRAMANIYAM PISUPATI RPT
3235 E MICHIGAN AVE
JACKSON, MI 49202-3971
Phone number: 517-990-1242
Mailing Address
-- BALASUBRAMANIYAM PISUPATI RPT
3235 E MICHIGAN AVE
JACKSON, MI 49202-3971
Phone number: 517-990-1242
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