KONGKIET THAERA

MUNSTER, IN
NPI1679537914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: IN  01029739A)
Enumeration Date2006-04-13
Last Update Date2007-07-08
Business Address
KONGKIET THAERA M.D.
901 MACARTHUR BLVD NEONATOLOGY DEPARTMENT
MUNSTER, IN 46321-2901
Phone number: 219-836-1600
Mailing Address
KONGKIET THAERA M.D.
9201 CALUMET AVE
MUNSTER, IN 46321-2807
Phone number: 219-836-2022
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