Individual
DR. PREECHA SUPANWANID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 ABBOT RD, EAST LANSING, MI 48823-3170
(517) 336-6950
(517) 336-6952
Mailing address
921 ABBOT RD, EAST LANSING, MI 48823-3170
(517) 336-6950
(517) 336-6952
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301037471
MI
Other
Enumeration date
10/17/2007
Last updated
03/11/2008
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