Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROMPORN JUNE SUWANABOL
ActivePROMPORN JUNE SUWANABOL is a Medical Physician Assistant healthcare provider located in WATERTOWN, Wisconsin. NPI 1710395058 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WATERTOWN, WI
Registration Details
- NPI Number
- 1710395058
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2014 (12.008588009465 yrs)
- Last Updated
- Dec 16, 2014
- License
-
3398-23 (WI)
Practice Information
- Address
-
123 HOSPITAL DRSUITE 2009WATERTOWN, WI, 530983331Browse WI providers · Browse ZIP 53098
- Phone
- 9202629833
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WATERTOWN, WI
| Name | Credential | NPI |
|---|---|---|
| LINNEA M NAGEL | PA | 1538194790 |
| MRS. PEGGY BURR | PA C | 1548285273 |
| CHRISTINA MOLINARO | PA-C | 1972974368 |
| LAUREN ASHLEY PEDERSON | PA-C | 1184252504 |
| KARLA BAKKE | PA-C | 1710516117 |
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.