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Search › Wisconsin › 207Q00000X

Sourasack Vongsa, MD

NPI 1619945524 · on the registry since 2006

Practice

Address
2500 E Capitol Dr Ste 1200
Appleton, WI 54911
Phone
(920) 830-6877
Fax
(800) 236-2236
Organisation at this address
Morton Drug Co Inc
Valley Urologic Associates
Fox Valley Pulmonary Medicine, Llc
Fox Valley Pulmonary Medicine, S.C.
Radiology Associates Of Appleton, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
129

Additional practice sites

  • 3329 N Richmond St, Appleton, WI
  • 3329 N Richmond St, Appleton, WI
  • 3329 N Richmond St, Appleton, WI
  • 3329 N Richmond St, Appleton, WI

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-19

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 Wisconsin