Male or Other

Tawatchai Paisansinsup

Rheumatology Physician in St Louis Park, MN(View on Map)

Full Name

Tawatchai Paisansinsup

NPI Number

1881671881

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/30/2005

Specialties

(Taxonomies)

Code

207RR0500X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

42026

Contact
Information

Purpose

Mailing
Location

Address

8170 33RD AVE S # MS 21110Q
3800 PARK NICOLLET BLVD

City

Bloomington
St Louis Park

State

MN
MN

Postal Code

55425-4516
55416-2527

Country

US
US

Telephone Number

N/A
(952) 993-2808

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/09/2021

Provider Address

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