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Preecha Supanwanid Md Pc
Specialist in East Lansing, Michigan
NPI 1326227786

Preecha Supanwanid Md Pc is a Specialist based in East Lansing, MI. Preecha Supanwanid Md Pc practices in East Lansing, MI. The NPI Number for Preecha Supanwanid Md Pc is 1326227786 and holds a License No. 4301037471 (Michigan).

The current practice location address for Preecha Supanwanid Md Pc is 921 Abbot Rd, East Lansing, MI and can be reached out via phone at 517-336-6950 and via fax at 517-336-6952.

Location: 921 Abbot Rd, East Lansing, MI, 48823-3170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326227786
Provider Name
Preecha Supanwanid Md Pc
Credential
Provider Entity Type
Organization
Address
921 Abbot Rd, East Lansing, MI, 48823-3170
Phone Number
517-336-6950
Fax Number
517-336-6952
Provider Enumeration Date
11/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0338503 01 BLUE CROSS BLUE SHIELD
1391276 05 MI
institution
Provider Business Practice Location Address Details
Address
921 Abbot Rd
City
East Lansing
State
Michigan
Zip
48823-3170
Phone Number
517-336-6950
Fax Number
517-336-6952
person
Provider Business Mailing Address Details
Address
921 Abbot Rd
City
East Lansing
State
Michigan
Zip
48823-3170
Phone Number
517-336-6950
Fax Number
517-336-6952
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301037471 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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