Individual
PRATIMA BOINEPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1055 SOUTH US. 27, SAINT JOHNS, MI 48879-2437
(989) 224-3000
(989) 224-1424
Mailing address
1055 SOUTH US. 27, SAINT JOHNS, MI 48879-2437
(989) 224-3000
(989) 224-1424
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301085879
MI
Other
Enumeration date
11/21/2007
Last updated
12/19/2009
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