Individual
DR. YUPADI PRASERTWANITCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 299-2450
Mailing address
PO BOX 182, MISHAWAKA, IN 46546-0182
(574) 273-6546
(574) 283-5295
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01027483A
IN
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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