Organization
PREECHA SUPANWANID, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREECHA SUPANWANID MD (PRESIDENT)
(517) 336-6950
Entity
Organization
Contact information
Practice address
921 ABBOTT RD, EAST LANSING, MI 48823-3170
(517) 336-6950
(517) 336-6952
Mailing address
921 ABBOTT RD, EAST LANSING, MI 48823-3170
(517) 336-6950
(517) 336-6952
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301037471
MI
Other
Enumeration date
10/08/2005
Last updated
03/11/2008
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