Individual
MR. PANUPONG HANSRIVIJIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 847-2371
Mailing address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 847-2371
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
84734-20
WI
Other
Enumeration date
04/12/2019
Last updated
07/01/2025
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