# OLAN JAREUNPOON, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285954834
- **Authorized official:** OLAN JAREUNPOON M.D. (PRESIDENT)
- **Authorized official phone:** (248) 879-5799

## Contact information

- **Practice address:** 9740 CONANT ST, HAMTRAMCK, MI 48212-3307
- **Practice address phone:** (313) 556-9900
- **Practice address fax:** (313) 556-9911
- **Mailing address:** 2280 RED MAPLE DR, TROY, MI 48098-2248
- **Mailing address phone:** (248) 879-5779
- **Mailing address fax:** (248) 879-4854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 208600000X | MI | Yes |

## Other

- **Enumeration date:** 06/06/2010
- **Last updated:** 06/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1420298 TYPE 10 | — | MI |