Search › Michigan › 1223X0400X
Prasanna Shivapuja, BDS,MDS,DDS,MS ORTHO
NPI 1710067095 · on the registry since 2006 · sole proprietor
Practice
- Address
- 25979 Kelly Rd
Roseville, MI 48066 - Phone
- (586) 779-3440
- Fax
- (586) 779-0091
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan