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Supanawong Xiong
Non-emergency Medical Transport (VAN) in Eau Claire, Wisconsin
NPI 1639944390

Supanawong Xiong is a Non-emergency Medical Transport (VAN) based in Eau Claire, WI. Supanawong Xiong practices in Eau Claire, WI. The NPI Number for Supanawong Xiong is 1639944390 and holds a License No. X5207800017205 (Wisconsin).

The current practice location address for Supanawong Xiong is 1515 Golf Rd, Eau Claire, WI and can be reached out via phone at 651-274-6118. You can also correspond with Supanawong Xiong through the mailing address at 1515 GOLF RD, EAU CLAIRE, WI - 54701-7457 (mailing address contact number: 651-274-6118).

Location: 1515 Golf Rd, Eau Claire, WI, 54701-7457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639944390
Provider Name
Supanawong Xiong
Credential
Provider Entity Type
Individual
Gender
Male
Address
1515 Golf Rd, Eau Claire, WI, 54701-7457
Phone Number
651-274-6118
Fax Number
Provider Enumeration Date
11/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1515 Golf Rd
City
Eau Claire
State
Wisconsin
Zip
54701-7457
Phone Number
651-274-6118
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Golf Rd
City
Eau Claire
State
Wisconsin
Zip
54701-7457
Phone Number
651-274-6118
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
X5207800017205 (Wisconsin)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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