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PRAMOTE LAOPRASERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073-6710
(855) 863-8761
(248) 551-8190
Mailing address
130 TOWN CENTER DR STE 203, TROY, MI 48084-1744

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
40933
CO
2084N0400X
Neurology Physician
Primary
4301114378
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
97120235
CO
Enumeration date
10/25/2006
Last updated
05/08/2018
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