PUNYACHA CHUANCHOM CROCKER

ANN ARBOR, MI
NPI1801294020
Former NamePUNYACHA CHUANCHOM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704278307)
Enumeration Date2014-12-22
Last Update Date2016-11-28
Business Address
-- PUNYACHA CHUANCHOM CROCKER NP
1500 EAST MEDICAL CENTER DRIVE B1 FLOOR TAUBMAN CENTER RECP MOS ROOM 126
ANN ARBOR, MI 48109-5317
Phone number: 734-232-2867
Mailing Address
-- PUNYACHA CHUANCHOM CROCKER NP
3621 SOUTH STATE STREET 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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