Organization
V GERAVIPOOLVORN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VORAVIT GERAVIPOOLVORN MD (PRESIDENT)
(586) 772-8158
Entity
Organization
Contact information
Practice address
28345 UTICA RD, ROSEVILLE, MI 48066-2566
(586) 772-8158
(586) 772-8501
Mailing address
28345 UTICA RD, ROSEVILLE, MI 48066-2566
(586) 772-8158
(586) 772-8501
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301031947
MI
Other
Enumeration date
05/19/2008
Last updated
12/17/2009
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