Organization
THE PEDIATRIC PLACE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SWEETY A SRIVASTAVA MD (PHYSICIAN)
(810) 874-2060
Entity
Organization
Contact information
Practice address
3020 S GENESEE RD, BURTON, MI 48519-1420
(810) 744-3321
(810) 744-2850
Mailing address
3020 S GENESEE RD, BURTON, MI 48519-1420
(810) 744-3321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/01/2021
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