Individual
DR. KRIANGSAK THEPVEERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1731 N MICHIGAN AVE, SAGINAW, MI 48602-5344
(989) 755-4438
(989) 755-4693
Mailing address
160 GOLFVIEW DR, SAGINAW, MI 48638-5880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KT032947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1329574
—
MI
Enumeration date
12/06/2006
Last updated
07/08/2007
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