Organization
HOME PHYSICIAN SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SONJAI POONPANIJ MD (OWNER)
(248) 743-1099
Entity
Organization
Contact information
Practice address
17520 W 12 MILE RD STE 109, SOUTHFIELD, MI 48076-1907
(248) 228-8654
(248) 228-8656
Mailing address
17520 W 12 MILE RD STE 109, SOUTHFIELD, MI 48076-1907
(248) 228-8654
(248) 228-8656
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301032562
MI
Other
Enumeration date
09/20/2006
Last updated
03/08/2010
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