Individual
JIRAYU J KUKIRATIRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1150 E SHERMAN BLVD, SUITE 2400, MUSKEGON, MI 49444-1871
(231) 672-6336
(231) 672-6335
Mailing address
1675 LEAHY ST, SUITE 315A, MUSKEGON, MI 49442-5500
(231) 727-5250
(231) 727-5248
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5101021416
MI
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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