Individual
TINNAKORN CHAIWORAPONGSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3980 JOHN R, HUTZEL WOMEN'S HOSPITAL, DETROIT, MI 48201-2018
(313) 745-7641
(313) 993-4444
Mailing address
3980 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-7641
(313) 993-4444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301080786
MI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301080786
MI
Other
Enumeration date
05/17/2007
Last updated
02/22/2019
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