Individual
DR. APINAN THITIPRASERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3331 W DEYOUNG STREET, SUITE 105, MARION, IL 62959-5896
(618) 997-9496
(618) 997-8499
Mailing address
3331 W DEYOUNG STREET, SUITE 105, MARION, IL 62959-5896
(618) 997-9496
(618) 997-8499
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036048878
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048878
—
IL
Enumeration date
07/26/2006
Last updated
06/06/2011
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