Varghese John

NPI 1003207358 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1003207358
Gender Male
Enumeration Date 02/09/2015
Last Updated 02/09/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
25813 SALEM ST
ROSEVILLE MI, 48066-5811, US
Phone (586) 216-6356
Fax
Business Location
25813 SALEM ST
ROSEVILLE MI, 48066-5811, US
Phone (586) 216-6356
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Michigan
License Number 4703114386
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According to our database, Varghese John NPI is 1003207358, taxonomy code is 164W00000X and license number is 4703114386, license state is located at Michigan. Varghese John physically located at 25813 Salem St, Roseville MI, 48066-5811. NPI Number Varghese John has the Individual type.

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1003207358 NPI number is provided on an as is basis without warranty of any kind. 1003207358 is maintained by the National Plan & Provider Enumeration System. The contents of Varghese John are for informational purposes only.