Individual
SOMSAK TANAWATTANACHAROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42822
WI
207RN0300X
Nephrology Physician
Primary
42822
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34059700
—
WI
Enumeration date
10/05/2006
Last updated
07/07/2023
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