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1699873075
PHADEJ KEOPUNNA
SAGINAW, MI
NPI
1699873075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: MI PK035585)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- PHADEJ KEOPUNNA MD
70 NORTH FROST DR
SAGINAW, MI 48638
Phone number: 989-792-6776
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Mailing Address
-- PHADEJ KEOPUNNA MD
70 NORTH FROST DRIVE
SAGINAW, MI 48638
Phone number: 989-792-6776
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