Organization
PTPEASTPOINTE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUTHIN LIPTAWAT M.D. (PRESIDENT)
(586) 773-7667
Entity
Organization
Contact information
Practice address
15200 EEAST TEN MILE ROAD, EASTPOINTE, MI 48021-1010
(586) 773-7667
Mailing address
15200 EAST TEN MILE ROAD, EASTPOINTE, MI 48021-1010
(586) 773-7667
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
34874
MI
Other
Enumeration date
05/23/2007
Last updated
12/31/2007
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