Preecha Supanwanid, Md Pc

NPI 1346238920 - Plastic Surgery - 208200000X

NPI Details
NPI 1346238920
Enumeration Date 10/08/2005
Last Updated 03/11/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PREECHA PREECHA
Position PRESIDENT
Phone (517) 336-6950
Fax (517) 336-6952
Practice Location
921 ABBOTT RD
EAST LANSING MI, 48823-3170, US
Phone (517) 336-6950
Fax (517) 336-6952
Business Location
921 ABBOTT RD
EAST LANSING MI, 48823-3170, US
Phone (517) 336-6950
Fax (517) 336-6952
Toxanomy
Taxonomy Code 208200000X
License State Michigan
License Number 4301037471
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According to our database, Preecha Supanwanid, Md Pc NPI is 1346238920, taxonomy code is 208200000X and license number is 4301037471, license state is located at Michigan. Preecha Supanwanid, Md Pc physically located at 921 Abbott Rd, East Lansing MI, 48823-3170. NPI Number 1033115704 has the healthcare provider type.

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1346238920 NPI number is provided on an as is basis without warranty of any kind. 1346238920 is maintained by the National Plan & Provider Enumeration System. The contents of Preecha Supanwanid, Md Pc are for informational purposes only.