KITIMA BOONVISUDHI

MILWAUKEE, WI
NPI1134198005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: WI  59966)
Additional Taxonomies208600000X Surgery
(Licence: NY  204411)
Enumeration Date2006-03-14
Last Update Date2013-01-30
Business Address
Dr. KITIMA BOONVISUDHI
2901 W KINNICKINNIC RIVER PKWY STE 311
MILWAUKEE, WI 53215-3677
Phone number: 414-385-8723
Mailing Address
Dr. KITIMA BOONVISUDHI
2901 W KINNICKINNIC RIVER PKWY STE 311
MILWAUKEE, WI 53215-3677
Phone number: 414-385-8723
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