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PENPUT TANGSINTANAPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1484 STRAITS DR, STE 5, BAY CITY, MI 48706-8718
(989) 667-8740
(989) 667-8745
Mailing address
PO BOX 1500, NOVI, MI 48376-1500
(248) 248-0700
(248) 324-1477

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
035567
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1546674
MI
Enumeration date
12/18/2006
Last updated
02/29/2008
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