| Digestive Diseases & Clinical Nutrition Center, Pc | |
|
1345 Willowdale Ct Ste A Flint MI 48532-4736 | |
| (810) 720-5130 | |
| (810) 720-4661 |
| Full Name | Digestive Diseases & Clinical Nutrition Center, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1345 Willowdale Ct Ste A, Flint, Michigan |
| Authorized Official Name and Position | Sreen Mannam (GASTROENTEROLOGIST) |
| Authorized Official Contact | 8107205130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Diseases & Clinical Nutrition Center, Pc 1345 Willowdale Ct Ste A Flint MI 48532-4736 Ph: (810) 720-5130 | Digestive Diseases & Clinical Nutrition Center, Pc 1345 Willowdale Ct Ste A Flint MI 48532-4736 Ph: (810) 720-5130 |
| NPI Number | 1447271515 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4981663770 |
|---|---|
| Medicare Enrollment ID | O20041007000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447271515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | SM010585 (Michigan) | Primary |
| Provider Name | Sreenivas Mannam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629001334 PECOS PAC ID: 3173582715 Enrollment ID: I20041008000051 |
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