Individual
PATCHARIN TANAWATTANACHAROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 CRAIG RD, EAU CLAIRE, WI 54701-2699
(715) 858-6767
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42821
WI
207RH0003X
Hematology & Oncology Physician
Primary
42821
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34059600
—
WI
Enumeration date
09/25/2006
Last updated
02/16/2024
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