Individual
TENZIN SONAM ATRUKTSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 916-2349
Mailing address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 916-2349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
85366-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255960373
—
WI
Enumeration date
04/02/2020
Last updated
10/14/2025
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