Individual
DR. SREENIVAS MANNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1345 WILLOWDALE CT, FLINT, MI 48532-4736
(810) 720-5130
(810) 720-4661
Mailing address
1345 WILLOWDALE CT, FLINT, MI 48532-4736
(810) 720-5130
(810) 720-4661
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301058532
MI
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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