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Individual
DR. WISIT CHEUNGPASITPORN
Active
Individual
DR. WISIT CHEUNGPASITPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
24590
MS
207RN0300X
Nephrology Physician
Primary
56833
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08175863
—
MS
01
—
P01234124
RAILROAD MEDICARE
MN
Enumeration date
06/21/2010
Last updated
09/30/2020
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