PROMPORN SUWANABOL
Physician Assistant - Medical
Active
Individual
NPI: 1710395058
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 3398-23 (WI) |
Frequently Asked Questions
NPI 1710395058 is the National Provider Identifier for PROMPORN SUWANABOL, a Physician Assistant - Medical provider located in Watertown, WI. This NPI was enumerated on July 30, 2014.
PROMPORN SUWANABOL practices at 123 HOSPITAL DR, SUITE 2009, Watertown, WI 53098.
Quick Facts
- NPI
- 1710395058
- Type
- Individual
- Enumerated
- Jul 30, 2014
- Last Updated
- Dec 16, 2014
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GEORGE BOUSH, M.D.
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SHAUNA LAMBRECHT, APNP
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WATERTOWN REGIONAL MEDICAL CENTER, INC
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GYMTASTICS, INC
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JEFFREY MEADE, M.D
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