Individual provider · Type 1 NPI

Shruthi Edunuri, MD

Student in an Organized Health Care Education/Training Program · Marquette, MI

NPI number 1073769113 Active

Practice location

1414 W Fair Ave, Suite 36
Marquette, MI 49855-2675

Call (906) 225-3864 Map

Fax (906) 225-3851

Mailing address

4602 Dept
Carol Stream, IL 60122-0021

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1073769113

Shruthi Edunuri, MD's National Provider Identifier is 1073769113, issued on Aug 8, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marquette, MI. The record was last updated on Nov 27, 2023.