person
Promporn June Suwanabol
Medical Physician Assistant in Watertown, Wisconsin
NPI 1710395058

Promporn June Suwanabol is a Medical Physician Assistant based in Watertown, WI and is specialized in Medical. Promporn June Suwanabol practices in Watertown, WI. The NPI Number for Promporn June Suwanabol is 1710395058 and holds a License No. 3398-23 (Wisconsin).

The current practice location address for Promporn June Suwanabol is 123 Hospital Dr, Watertown, WI and can be reached out via phone at 920-262-9833.

Location: 123 Hospital Dr, Watertown, WI, 53098-3331
person
Provider Profile Details
NPI Number
1710395058
Provider Name
Promporn June Suwanabol
Credential
Provider Entity Type
Individual
Gender
Female
Address
123 Hospital Dr, Watertown, WI, 53098-3331
Phone Number
920-262-9833
Fax Number
Provider Enumeration Date
07/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
123 Hospital Dr
City
State
Zip
53098-3331
Phone Number
920-262-9833
Fax Number
person
Provider Business Mailing Address Details
Address
123 Hospital Dr
City
State
Zip
53098-3331
Phone Number
920-262-9833
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3398-23 (Wisconsin)
Definition
Definition to come...
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