SHAURYA SRIVASTAVA

LANSING, MI
NPI1790301349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5151014234)
Enumeration Date2020-06-19
Last Update Date2020-06-22
Business Address
SHAURYA SRIVASTAVA DO
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-5184
Mailing Address
SHAURYA SRIVASTAVA DO
1322 E MICHIGAN AVE STE 202B
LANSING, MI 48912-2109
Phone number:
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