PANUPONG HANSRIVIJIT

WAUSAU, WI
NPI1558824870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
(Licence: WI  84734-20)
Enumeration Date2019-04-12
Last Update Date2025-07-01
Business Address
MR. PANUPONG HANSRIVIJIT M.D., M.P.H.
3300 WESTHILL DR
WAUSAU, WI 54401-4710
Phone number: 715-847-2371
Mailing Address
MR. PANUPONG HANSRIVIJIT M.D., M.P.H.
3300 WESTHILL DR
WAUSAU, WI 54401-4710
Phone number: 715-847-2371