Wasakorn Ten Kittipongdaja M.D.

NPI 1457746380 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1457746380
Gender Male
Enumeration Date 03/28/2015
Last Updated 07/15/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
9200 W WISCONSIN AVE
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-6100
Fax (414) 805-6147
Business Location
9200 W WISCONSIN AVE
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-6100
Fax (414) 805-6147
Toxanomy
Taxonomy Code 390200000X
License State
License Number
Remove 1457746380 NPI Number
 

According to our database, Wasakorn Ten Kittipongdaja M.D. NPI is 1457746380, taxonomy code is 390200000X Wasakorn Ten Kittipongdaja M.D. physically located at 9200 W Wisconsin Ave, Milwaukee WI, 53226-3522. NPI Number Wasakorn Ten Kittipongdaja M.D. has the Individual type.

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1457746380 NPI number is provided on an as is basis without warranty of any kind. 1457746380 is maintained by the National Plan & Provider Enumeration System. The contents of Wasakorn Ten Kittipongdaja M.D. are for informational purposes only.