Individual
DR. WUTTIPORN MANATSATHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-0001
(402) 559-4015
(402) 559-9416
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
30699
NE
Other
Enumeration date
08/02/2011
Last updated
11/12/2018
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