Preecha Supanwanid in East Lansing - Plastic Surgery

Preecha Supanwanid - NPI 1669661450

Preecha Supanwanid is a Plastic Surgery in East Lansing, Michigan. Preecha Supanwanid practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Preecha Supanwanid is 1669661450. The last update date is 2008-03-11.

Preecha Supanwanid's current location address is 921 Abbot Rd, East Lansing, Michigan. You can contact this provider via phone number 5173366950 and fax number 5173366952. The mailing address for Preecha Supanwanid is 921 Abbot Rd, East Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Preecha Supanwanid
Address 921 Abbot Rd, East Lansing, Michigan
Phone Number 5173366950
Fax Number 5173366952
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1669661450
Provider Enumeration Date 2007-10-17
Last Updated Date 2008-03-11

Provider Mailing Address Detail

Address 921 Abbot Rd
City East Lansing
State Michigan (MI)
Post Code 488233170
Phone Number 5173366950
Fax Number 5173366952

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 4301037471
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

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FAQs about Preecha Supanwanid

What is the unique provider identifier assigned to Preecha Supanwanid?

The Preecha Supanwanid has been issued the NPI (National Provider Identifier) 1669661450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Preecha Supanwanid is physically located?

The Preecha Supanwanid is situated at the following address: 921 Abbot Rd, East Lansing, MI 488233170.

What is the Preecha Supanwanid's specialty and taxonomy code?

The Preecha Supanwanid's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1669661450 to Preecha Supanwanid?

The Preecha Supanwanid received its 1669661450 assignment from the Centers for Medicare & Medicaid Services on 2007-10-17.

As of what date were the Preecha Supanwanid's details last updated?

The information pertaining to the Preecha Supanwanid, including its address, specialty, and other details, was most recently updated on 2008-03-11.

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