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Organization
OLAN JAREUNPOON, M.D., P.C.
Active
Organization
OLAN JAREUNPOON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAN JAREUNPOON M.D. (PRESIDENT)
(248) 879-5799
Entity
Organization
Contact information
Practice address
9740 CONANT ST, HAMTRAMCK, MI 48212-3307
(313) 556-9900
(313) 556-9911
Mailing address
2280 RED MAPLE DR, TROY, MI 48098-2248
(248) 879-5779
(248) 879-4854
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
208600000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1420298 TYPE 10
—
MI
Enumeration date
06/06/2010
Last updated
06/07/2010
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