V GERAVIPOOLVORN MD PC
Osteopathic Medicine at Utica Rd, Roseville, MI

License number
Michigan 4301031947
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: DR. VORAVIT GERAVIPOOLVORN MD
Title: PRESIDENT
Phone: (586) 772-8158
Address
Address
28345 Utica Rd, Roseville, MI 48066
National Provider ID: 1275790156
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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V. GERAVIPOOLVORN, M.D., PC

28345 Utica Rd, Roseville, MI 48066

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
V Geravipoolvorn MD PC
Registration:
Jul 18, 1977
Phone:
(586) 772-8158 (Phone)
State ID:
149892
Business type:
Domestic Professional Service Corporation
Expiration:
9-30-2013
Receptionist Secretary, Receptionists:
Drvoravit Geravipoolvorn President, Internist Rheumatologist, Medical Doctor, inactive,Karen Borkowski Office Manager, Manager, inactive,Sue Amato Receptionist Secretary, Receptionist, inactive
Agent:
V. Geravipoolvorn

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