# HOME PHYSICIAN SERVICES PC

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

## Provider details

- **NPI number:** 1346347523
- **Authorized official:** MR. SONJAI POONPANIJ MD (OWNER)
- **Authorized official phone:** (248) 743-1099

## Contact information

- **Practice address:** 17520 W 12 MILE RD STE 109, SOUTHFIELD, MI 48076-1907
- **Practice address phone:** (248) 228-8654
- **Practice address fax:** (248) 228-8656
- **Mailing address:** 17520 W 12 MILE RD STE 109, SOUTHFIELD, MI 48076-1907
- **Mailing address phone:** (248) 228-8654
- **Mailing address fax:** (248) 228-8656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301032562 | MI | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 03/08/2010