TANAWAT JIRAKULAPORN

MINNEAPOLIS, MN
NPI1841494945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: HI  MDR-4590)
Enumeration Date2007-06-13
Last Update Date2007-07-08
Business Address
TANAWAT JIRAKULAPORN M.D.
516 DELAWARE ST SE 14-142 PWB
MINNEAPOLIS, MN 55455-0356
Phone number: 612-624-0123
Mailing Address
TANAWAT JIRAKULAPORN M.D.
2285 STEWART AVE APT 1411
SAINT PAUL, MN 55116-3155
Phone number:
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