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Individual

DR. MANOO BOONSIRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10501 TELEGRAPH RD, SUITE 102, TAYLOR, MI 48180-3375
(313) 295-7822
(734) 241-3350
Mailing address
730 N MACOMB ST, SUITE 415, MONROE, MI 48162-2900
(734) 243-5822
(734) 241-3350

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35446
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3305801051
BCBS OF MI
MI
Enumeration date
03/14/2007
Last updated
07/08/2007
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