THARACKANDATHIL OORAN SHANAVAS

ADRIAN, MI
NPI1932158136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MI  TS034422)
Enumeration Date2006-05-08
Last Update Date2012-12-11
Business Address
-- THARACKANDATHIL OORAN SHANAVAS MD
901 KIMOLE LN SUITE B-1
ADRIAN, MI 49221-1491
Phone number: 517-263-6733
Mailing Address
-- THARACKANDATHIL OORAN SHANAVAS MD
901 KIMOLE LN SUITE B-1
ADRIAN, MI 49221-1491
Phone number: 517-263-6733
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