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1891087227
MAURAN SIVANANTHAN
DEARBORN, MI
NPI
1891087227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: MI 5101021263)
Enumeration Date
2011-05-04
Last Update Date
2017-01-30
Business Address
-- MAURAN SIVANANTHAN D.O.
5111 AUTO CLUB DR SUITE 112
DEARBORN, MI 48126-2749
Phone number: 313-317-2000
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Mailing Address
-- MAURAN SIVANANTHAN D.O.
5111 AUTO CLUB DR SUITE 112
DEARBORN, MI 48126-2749
Phone number: 313-317-2000
Copy
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