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Individual

DR. MICHELLE GRACE PUZDRAKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
308800
LA
208000000X
Pediatrics Physician
42447
TN
208000000X
Pediatrics Physician
A67302
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510509
TN
Enumeration date
11/23/2005
Last updated
08/18/2026
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