Individual
PAVAN SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(510) 825-3587
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(510) 825-3587
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5951001554
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2021
Last updated
07/25/2024
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