Individual
KONCHOK NORGAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 SERVICE RD RM A225, EAST LANSING, MI 48824-7015
(517) 353-4941
(517) 432-3145
Mailing address
788 SERVICE RD RM B301, EAST LANSING, MI 48824-7013
(517) 353-5100
(517) 432-2759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301110637
MI
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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