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 Date2021-12-28
Business Address
Mr. THOTSAPHONE KHAMPANE P.A.C.
AURORA SINAI MEDICAL CENTER 945 NORTH 12TH ST
MILWAUKEE, WI 53233
Phone number: 414-219-6777
Mailing Address
Mr. THOTSAPHONE KHAMPANE P.A.C.
PO BOX 3043
OAK BROOK, IL 60522-3043
Phone number: 630-734-0200
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