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1275656647
PUANGPETCH CHANBUSARAKUM
MADISON, WI
NPI
1275656647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 21116)
Enumeration Date
2007-04-09
Last Update Date
2014-07-10
Business Address
Dr. PUANGPETCH CHANBUSARAKUM
722 WILLIAMSON ST
MADISON, WI 53703-3546
Phone number: 608-267-1445
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Mailing Address
Dr. PUANGPETCH CHANBUSARAKUM
5005 COTTAGE GROVE RD
MADISON, WI 53716-1309
Phone number: 608-267-1445
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