PREECHA SUPANWANID MD PC
Medical Practice at Abbot Rd, East Lansing, MI

License number
Michigan 4301037471
Category
Medical Practice
Type
Specialist
Owner
Name: DR. PREECHA SUPANWANID MD
Title: BUSINESS OWNER
Phone: (517) 336-6950
Address
Address
921 Abbot Rd, East Lansing, MI 48823
National Provider ID: 1326227786
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREECHA SUPANWANID, M.D., PC

East Lansing, MI

Registration:
Jan 18, 1980
Addresses:
921 Abbott Rd, East Lansing, MI 48823 (Physical)
Michigan (Mailing)
State ID:
160408
Business type:
Domestic Professional Service Corporation
Agent:
Preecha Supanwanid

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