Individual
SREEDHAR PAKNIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 STONE ST, PORT HURON, MI 48060-3520
(810) 984-1000
(810) 984-3138
Mailing address
1321 STONE ST, PORT HURON, MI 48060-3520
(810) 984-1000
(810) 984-3138
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301040155
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164498234
—
MI
Enumeration date
02/27/2006
Last updated
06/22/2016
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