Individual
KOSIN THUPVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8687 CONNECTICUT ST, SUITE F, MERRILLVILLE, IN 46410-6361
(219) 769-7800
(219) 755-0478
Mailing address
8687 CONNECTICUT ST, SUITE F, MERRILLVILLE, IN 46410-6361
(219) 769-7800
(219) 755-0478
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
010-25644
IN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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