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Shruthi Edunuri, MD
Student in an Organized Health Care Education/Training Program in Marquette, Michigan
NPI 1073769113

Shruthi Edunuri is a Student in an Organized Health Care Education/Training Program based in Carol Stream, MI. Shruthi Edunuri practices in Marquette, MI and has the professional credentials of MD. The NPI Number for Shruthi Edunuri is 1073769113 and holds a License No. (Michigan).

The current practice location address for Shruthi Edunuri is 1414 W Fair Ave, Marquette, MI and can be reached out via phone at 906-225-3864 and via fax at 906-225-3851.

Location: 1414 W Fair Ave, Marquette, MI, 60122-0021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073769113
Provider Name
Shruthi Edunuri
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1414 W Fair Ave, Marquette, MI, 60122-0021
Phone Number
906-225-3864
Fax Number
906-225-3851
Provider Enumeration Date
08/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841458106 05 MI
KE092409 01 MI BCBS OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
1414 W Fair Ave
City
Marquette
State
Michigan
Zip
49855-2675
Phone Number
906-225-3864
Fax Number
906-225-3851
person
Provider Business Mailing Address Details
Address
1414 W Fair Ave
City
Marquette
State
Michigan
Zip
49855-2675
Phone Number
906-225-3864
Fax Number
906-225-3851
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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