Search › Minnesota › 207RE0101X
Siwadon Pitukweerakul, M.D
NPI 1487063087 · on the registry since 2014
Practice
- Address
- 401 Phalen Blvd
Saint Paul, MN 55130 - Phone
- (651) 254-7870
- Fax
- (651) 254-7876
- Organisation at this address
- Regions Hospital
Regions Hospital
Group Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 139
Additional practice sites
- 1000 N Oak Ave, Marshfield, WI
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207R00000X
207RE0101X
207R00000X - Licence states on file
- IL, WI, KS, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota