Thanasak Sueblinvong M.D.

NPI 1902002793 - Obstetrics & Gynecology - 207VX0201X

NPI Details
NPI 1902002793
Gender Male
Enumeration Date 06/27/2007
Last Updated 05/22/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1319 PUNAHOU ST
SIUTE# 824
HONOLULU HI, 96826-1001, US
Phone (808) 294-8448
Fax
Business Location
515 DELAWARE ST SE
12TH FLOOR MOOS TOWER
MINNEAPOLIS MN, 55455-0357, US
Phone (612) 626-3111
Fax
Toxanomy
Taxonomy Code 207VX0201X
License State Minnesota
License Number 51801
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According to our database, Thanasak Sueblinvong M.D. NPI is 1902002793, taxonomy code is 207VX0201X and license number is 51801, license state is located at Minnesota. Thanasak Sueblinvong M.D. physically located at 1319 Punahou St, Honolulu HI, 96826-1001. NPI Number Thanasak Sueblinvong M.D. has the Individual type.

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1902002793 NPI number is provided on an as is basis without warranty of any kind. 1902002793 is maintained by the National Plan & Provider Enumeration System. The contents of Thanasak Sueblinvong M.D. are for informational purposes only.