THOTSAPHONE KHAMPANE

MILWAUKEE, WI
NPI1164585691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  822-023)
Enumeration Date2006-12-18
Last Update Date2024-12-06
Business Address
Mr. THOTSAPHONE KHAMPANE P.A.C.
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-6777
Mailing Address
Mr. THOTSAPHONE KHAMPANE P.A.C.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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