Individual provider · Type 1 NPI

Jet Thepsongwajja, MD

Surgery Physician · Detroit, MI

NPI number 1598046153 Active

Practice location

22151 Moross Rd, Suite 332
Detroit, MI 48236-2167

Call (313) 343-7849 Map

Fax (313) 343-7378

Mailing address

1251 Lakepointe St
Grosse Pointe Park, MI 48230-1011

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X4301099550 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1598046153

Jet Thepsongwajja, MD's National Provider Identifier is 1598046153, issued on Sep 8, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Detroit, MI. The record was last updated on Sep 8, 2011.