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Dr. Pushpamal Nayananga Samararatne, MD
Student in an Organized Health Care Education/Training Program in Marquette, Michigan
NPI 1013279512

Pushpamal Nayananga Samararatne is a Student in an Organized Health Care Education/Training Program based in Carol Stream, MI. Pushpamal Nayananga Samararatne practices in Marquette, MI and has the professional credentials of MD. The NPI Number for Pushpamal Nayananga Samararatne is 1013279512 and holds a License No. (Michigan).

The current practice location address for Pushpamal Nayananga Samararatne is 1414 W Fair Ave, Marquette, MI and can be reached out via phone at 906-225-3864.

Location: 1414 W Fair Ave, Marquette, MI, 60122-4602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013279512
Provider Name
Pushpamal Nayananga Samararatne
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1414 W Fair Ave, Marquette, MI, 60122-4602
Phone Number
906-225-3864
Fax Number
Provider Enumeration Date
06/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1414 W Fair Ave
City
Marquette
State
Michigan
Zip
49855-2675
Phone Number
906-225-3864
Fax Number
person
Provider Business Mailing Address Details
Address
1414 W Fair Ave
City
Marquette
State
Michigan
Zip
49855-2675
Phone Number
906-225-3864
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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