Himali Wijesooriya, M.D

NPI 1720219926 · on the registry since 2009 · sole proprietor

Practice

Address: 640 Court Street
West Branch, MI 48661
Phone: (989) 345-8120
Fax: (989) 345-8129
Organisation at this address: Mymichigan Medical Group
Mymichigan Medical Center Gladwin
Mymichigan Medical Center West Branch
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Additional practice sites

158 Route 73 Ste B, Voorhees, NJ
239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ
602 W Cuthbert Blvd Unit 26, Haddon Township, NJ
315 Route 70 E, Cherry Hill, NJ
401 Young Ave Ste 180, Moorestown, NJ
1001 Route 73 N, Marlton, NJ
128 Route 70 Ste 1, Medford, NJ

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 207Q00000X
Licence states on file: NJ, MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-12-05

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