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Individual

PAVADEE POOWUTTIKUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3950 BEAUBIEN - 3RD FL, CHILDRENS HOSPITAL OF MI, DETROIT, MI 48201-2119
(313) 832-8550
(313) 993-8685
Mailing address
4201 ST. ANTOINE - UHC 5D MAILBOX 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301090387
MI
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
4301090387
MI

Other

Enumeration date
11/14/2007
Last updated
01/20/2017
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