KANISHKA THIRAN JAYASUNDERA

ANN ARBOR, MI
NPI1992090625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: MI  4301093385)
Enumeration Date2011-06-10
Last Update Date2021-03-26
Business Address
KANISHKA THIRAN JAYASUNDERA
1000 WALL STREET
ANN ARBOR, MI 48105-1912
Phone number: 734-764-4190
Mailing Address
KANISHKA THIRAN JAYASUNDERA
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299