TAWATCHAI PAISANSINSUP

ST LOUIS PARK, MN
NPI1881671881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RR0500X Internal Medicine, Rheumatology
(Licence: MN  42026)
Enumeration Date2005-12-30
Last Update Date2021-03-09
Business Address
TAWATCHAI PAISANSINSUP
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-2808
Mailing Address
TAWATCHAI PAISANSINSUP
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: