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Individual

DR. PIMKWAN JARU-AMPORNPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 763-8122
Mailing address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 763-8122

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301107205
MI
207W00000X
Ophthalmology Physician
4308850
WI

Other

Enumeration date
07/07/2011
Last updated
07/29/2015
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