Individual
CHUKIAT TANSUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 N FLORISSANT RD, FERGUSON, MO 63135-2332
(314) 521-1302
(314) 521-5120
Mailing address
40 N FLORISSANT RD, FERGUSON, MO 63135-2332
(314) 521-1302
(314) 521-5120
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35556
MO
Other
Enumeration date
07/22/2005
Last updated
08/16/2012
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