Individual
CLINT PAKKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6500
Mailing address
1031 ASH ST, HANCOCK, MI 49930-1150
(906) 281-7190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704285427
MI
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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