WASAKORN TEN KITTIPONGDAJA

MILWAUKEE, WI
NPI1457746380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WI  66331)
Enumeration Date2015-03-28
Last Update Date2019-06-18
Business Address
Dr. WASAKORN TEN KITTIPONGDAJA M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6100
Mailing Address
Dr. WASAKORN TEN KITTIPONGDAJA M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6100