Individual
PONON DILEEP KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1217 KEARNEY ST, SUITE 2, PORT HURON, MI 48060-3571
(810) 990-8302
(810) 990-8402
Mailing address
1217 KEARNEY ST, SUITE 2, PORT HURON, MI 48060-3571
(810) 990-8302
(810) 990-8402
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4301077324
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649246661
—
MI
Enumeration date
02/28/2006
Last updated
11/05/2015
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