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Search › Missouri › 207RE0101X

Nirandon Wongsurawat, MD

NPI 1376656116 · on the registry since 2006 · sole proprietor

Practice

Address
1015 Bowles Ave
Fenton, MO 63026
Phone
(636) 566-8155
Fax
(314) 966-0323
Organisation at this address
Cep America Llc
Hemo-Health Llc
Ssm Health Care St Louis
Ssm Health Care St. Louis
Fenton Emergency Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
207RE0101X
207RE0101X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri