Chenni Shreeniwazan Sriram
ActiveMichigan license 4301106966
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301106966
- Status
- Active
- First issued
- April 10, 2015
- Expires
- April 10, 2028
- License holder
- Chenni Shreeniwazan Sriram
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons
Contact
4201 St Antoine
UHC 5D Mailbox 226 Attn Provider Services Dept.
Detroit, MI 48201
UHC 5D Mailbox 226 Attn Provider Services Dept.
Detroit, MI 48201
Wayne County