Ptpeastpointe,p.c.
NPI #1962612606 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1962612606
- Entity Type
- Organization
- Organization Name
- Ptpeastpointe,p.c.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 23, 2007
- Last Updated
- Dec 31, 2007
Practice Location
- Address
- 15200 EEAST TEN MILE ROAD
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-1010
- Phone
- (586) 773-7667
Authorized Official
- Name
- SUTHIN LIPTAWAT, M.D.
- Title
- PRESIDENT
- Phone
- (586) 773-7667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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