WATANACHAI SUJATANOND

HERRIN, IL
NPI1548344997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  036046357)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Dr. WATANACHAI SUJATANOND
201 SOUTH 14TH STREET
HERRIN, IL 62948
Phone number: 618-942-4363
Mailing Address
Dr. WATANACHAI SUJATANOND
POST OFFICE BOX 548
HERRIN, IL 62948
Phone number: 618-942-4363
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