Organization
K THEPVEERA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIANGSAK THEPVEERA M.D. (OWNER)
(989) 755-4438
Entity
Organization
Contact information
Practice address
1731 N MICHIGAN AVE, SAGINAW, MI 48602-5344
(989) 755-4438
(989) 755-4693
Mailing address
1731 N MICHIGAN AVE, SAGINAW, MI 48602-5344
(989) 755-4438
(989) 755-4693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KT032947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1329574
—
MI
Enumeration date
11/22/2011
Last updated
05/01/2012
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