Individual
SOUAN XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CENTRAL BRIDGE ST, WAUSAU, WI 54401-2945
(715) 845-8279
(715) 842-8159
Mailing address
105 CENTRAL BRIDGE ST, WAUSAU, WI 54401-2945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15304-40
WI
Other
Enumeration date
10/24/2011
Last updated
02/10/2012
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