Sourasack Kit Vongsa, MD
Family Medicine in Appleton, WI. Individual provider (NPI-1).
Details
- NPI
- 1619945524
- Entity type
- Individual (NPI-1)
- Name
- Sourasack Kit Vongsa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2006
- Last updated
- Aug 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 47253 | WI | Yes |
Practice location
2500 E Capitol Dr Ste 1200Appleton, WI 54911
Phone 920-830-6877 · Fax 800-236-2236
Mailing address
122 E College AveAppleton, WI 54911-5794
Phone 920-996-3264 · Fax 920-830-5970
Other practice locations
Appleton, WI 54911
Phone 920-380-2727 · Fax 920-380-2726
Appleton, WI 54911
Phone 920-380-2727 · Fax 920-380-2726
Appleton, WI 54911
Phone 920-380-2727 · Fax 920-380-2726
Appleton, WI 54911
Phone 920-380-2727 · Fax 920-380-2726
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All 117 Family Medicine Physician providers in Appleton · All 4,063 providers in Appleton
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