NPI 1104629732

Vishnu Pemmaraju, MD

Organisation Colon & Rectal Surgery Physician Wayne, MI

Practice location

Address: 3106 S Wayne Rd, Wayne, MI 48184-1221
Phone: (734) 722-6300
Fax: (734) 722-4815

Authorised official

Name: Vishnu Pemmaraju
Title: Owner
Phone: (248) 635-5038

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in Michigan →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Michigan →

Registry record

NPI: 1104629732
Entity type: Organization
NPI issued: 29 Mar 2025
Record last updated: 29 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.