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MR. SMATHORN THAKOLWIBOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
71046
MN
2084N0400X
Neurology Physician
Primary
81956
WI
2084N0400X
Neurology Physician
BP10059611
TX

Other

Enumeration date
06/26/2017
Last updated
08/23/2023
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