PUANGPETCH CHANBUSARAKUM

MADISON, WI
NPI1275656647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  21116)
Enumeration Date2007-04-09
Last Update Date2014-07-10
Business Address
Dr. PUANGPETCH CHANBUSARAKUM
722 WILLIAMSON ST
MADISON, WI 53703-3546
Phone number: 608-267-1445
Mailing Address
Dr. PUANGPETCH CHANBUSARAKUM
5005 COTTAGE GROVE RD
MADISON, WI 53716-1309
Phone number: 608-267-1445
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