Individual
DR. SUWANNEE PHUMEETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-5147
Mailing address
4500 CASS AVE APT 1022, DETROIT, MI 48201-1861
(313) 405-5173
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301094012
MI
Other
Enumeration date
07/12/2009
Last updated
07/12/2009
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