HIMALI SHESHTRA WIJESOORIYA

WEST BRANCH, MI
NPI1720219926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301102341)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NJ  25MA10206300)
Enumeration Date2009-08-05
Last Update Date2018-12-05
Business Address
HIMALI SHESHTRA WIJESOORIYA M.D.
640 COURT STREET
WEST BRANCH, MI 48661-0001
Phone number: 989-345-8120
Mailing Address
HIMALI SHESHTRA WIJESOORIYA M.D.
640 COURT STREET
WEST BRANCH, MI 48661-0001
Phone number: 989-345-8120