Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE GRACE PUZDRAKIEWICZ, M.D.
ActivePediatrics · DYERSBURG, TN
Registration Details
- NPI Number
- 1376526392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2005 (20.409754705727 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
308800 (LA)42447 (TN)
Practice Information
- Address
-
1700 WOODLAWN AVEDYERSBURG, TN, 380242028Browse TN providers · Browse ZIP 38024
- Phone
- 7312874500
- Fax
- 7312874804
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in DYERSBURG, TN
| Name | Credential | NPI |
|---|---|---|
| STEVENS D MELTON | MD | 1629062203 |
| SARAH JANE CAMPER | DO | 1912494105 |
| DR. MICHAEL ABDELMISSEH | MD | 1225529241 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.