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Sourasack Kit Vongsa, MD
Family Medicine Physician in Appleton, Wisconsin
NPI 1619945524

Sourasack Kit Vongsa is a Family Medicine Physician based in Appleton, WI. Sourasack Kit Vongsa practices in Appleton, WI and has the professional credentials of MD. The NPI Number for Sourasack Kit Vongsa is 1619945524 and holds a License No. 47253 (Wisconsin).

The current practice location address for Sourasack Kit Vongsa is 2500 E Capitol Dr Ste 1200, Appleton, WI and can be reached out via phone at 920-830-6877 and via fax at 800-236-2236.

Location: 2500 E Capitol Dr Ste 1200, Appleton, WI, 54911-5794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619945524
Provider Name
Sourasack Kit Vongsa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 E Capitol Dr Ste 1200, Appleton, WI, 54911-5794
Phone Number
920-830-6877
Fax Number
800-236-2236
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34808400 05 WI
institution
Provider Business Practice Location Address Details
Address
2500 E Capitol Dr Ste 1200
City
Appleton
State
Wisconsin
Zip
54911
Phone Number
920-830-6877
Fax Number
800-236-2236
person
Provider Business Mailing Address Details
Address
2500 E Capitol Dr Ste 1200
City
Appleton
State
Wisconsin
Zip
54911
Phone Number
920-830-6877
Fax Number
800-236-2236
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
47253 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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