Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOURASACK KIT VONGSA, MD
ActiveSOURASACK KIT VONGSA, MD is a Family Medicine healthcare provider located in APPLETON, Wisconsin. NPI 1619945524 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · APPLETON, WI
Registration Details
- NPI Number
- 1619945524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2006 (20.43606101442 yrs)
- Last Updated
- Aug 19, 2019
- License
-
47253 (WI)
Practice Information
- Address
-
2500 E CAPITOL DR STE 1200APPLETON, WI, 54911Browse WI providers · Browse ZIP 54911
- Phone
- 9208306877
- Fax
- 8002362236
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in APPLETON, WI
| Name | Credential | NPI |
|---|---|---|
| PAUL D NELSEN | MD | 1699767301 |
| DR. NANCY J LINDO-DRUSCH | MD | 1821081035 |
| NORMAN J SCHROEDER II | MD | 1245224245 |
| MARIA EDITHA M BAUTISTA-SANTOS | MD | 1386638393 |
| THOMAS C SCHELBLE | MD | 1609860691 |
| DR. JAMES E BURWITZ | MD | 1710971627 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.