Thanom Temiyasathit M.D.

NPI 1023041175 - Internal Medicine - 207RC0000X

NPI Details
NPI 1023041175
Gender Male
Enumeration Date 07/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1302 FRANKLIN AVE
SUITE 4500
NORMAL IL, 61761-3551, US
Phone (309) 828-1166
Fax (309) 862-0330
Business Location
1302 FRANKLIN AVE
SUITE 4500
NORMAL IL, 61761-3551, US
Phone (309) 828-1166
Fax (309) 862-0330
Toxanomy
Taxonomy Code 207RC0000X
License State
License Number
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According to our database, Dr. Thanom Temiyasathit M.D. NPI is 1023041175, taxonomy code is 207RC0000X Thanom Temiyasathit M.D. physically located at 1302 Franklin Ave, Normal IL, 61761-3551. NPI Number Thanom Temiyasathit M.D. has the Individual type.

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1023041175 NPI number is provided on an as is basis without warranty of any kind. 1023041175 is maintained by the National Plan & Provider Enumeration System. The contents of Thanom Temiyasathit M.D. are for informational purposes only.