JET THEPSONGWAJJA

DETROIT, MI
NPI1598046153
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: MI  4301099550)
Enumeration Date2011-09-08
Last Update Date2011-09-08
Business Address
-- JET THEPSONGWAJJA M.D.
22151 MOROSS RD SUITE 332
DETROIT, MI 48236-2167
Phone number: 313-343-7849
Mailing Address
-- JET THEPSONGWAJJA M.D.
1251 LAKEPOINTE ST
GROSSE POINTE PARK, MI 48230-1011
Phone number:
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