Individual
DR. PIRAON SUTTHIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L8970
TX
207RC0000X
Cardiovascular Disease Physician
38974
IA
207RC0000X
Cardiovascular Disease Physician
53203
MN
207RC0000X
Cardiovascular Disease Physician
Primary
53926
WI
207RC0000X
Cardiovascular Disease Physician
L8970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144017100
FIRSTCARE COMMERCIAL
TX
05
—
144017101
—
TX
05
—
174287601
—
TX
05
—
174287602
—
TX
05
—
200056480A
—
OK
01
—
202000019
PRESBYTERIAN COMMERCIAL
NM
05
—
202000019
—
NM
01
—
450686CI134021
SECTION 1011
TX
05
—
56185278
—
NM
01
—
87915Z
HMO BLUE
TX
01
—
8S5200
BC/BS
TX
Enumeration date
02/07/2006
Last updated
06/04/2015
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