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PHADEJ KEOPUNNA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHADEJ KEOPUNNA MD (OWNER)
(989) 792-6776
Entity
Organization

Contact information

Practice address
70 N FROST DR, SAGINAW, MI 48638-5796
(989) 792-6776
Mailing address
70 N FROST DR, SAGINAW, MI 48638-5796
(989) 792-6776

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0025266
MI

Other

Enumeration date
03/24/2008
Last updated
03/24/2008
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