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1962841544
SIRAJ PANCHBHAIYA
WARREN, MI
NPI
1962841544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: MI 5901002488)
Enumeration Date
2013-06-18
Last Update Date
2015-08-12
Business Address
-- SIRAJ PANCHBHAIYA D.P.M.
11900 E 12 MILE RD STE 102
WARREN, MI 48093-3487
Phone number: 586-573-7470
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Mailing Address
-- SIRAJ PANCHBHAIYA D.P.M.
20176 LIVERNOIS AVE 100
DETROIT, MI 48221-1346
Phone number: 313-864-7385
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