OLAN JAREUNPOON, M.D., P.C.
Ambulatory Health at Conant St, Detroit, MI

License number
Michigan 208600000X
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: OLAN JAREUNPOON M.D.
Title: PRESIDENT
Phone: (248) 879-5799
Address
Address 2
9740 Conant St, Detroit, MI 48212
2280 Red Maple Dr, Troy, MI 48098
National Provider ID: 1285954834
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OLAN JAREUNPOON, M.D., PC

2280 Red Maple, Troy, MI 48098

Status:
Inactive
Registration:
Oct 18, 1982
State ID:
174668
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-1997
Agent:
Olan Jareunpoon, M.d

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