Individual
CHIRASAKDI RATANAWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Mailing address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7500
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
40782
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32539600
—
WI
Enumeration date
09/26/2006
Last updated
02/19/2021
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