Organization
ALL STAR PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVANI CHOUDHARY MD (OWNER)
(810) 584-7511
Entity
Organization
Contact information
Practice address
8203 S SAGINAW ST, GRAND BLANC, MI 48439-2434
(810) 584-7511
Mailing address
8203 S SAGINAW ST, GRAND BLANC, MI 48439-2434
(810) 584-7511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301086642
MI
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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