Search › Wisconsin › 343900000X
Supanawong Xiong
NPI 1639944390 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1515 Golf Rd
Eau Claire, WI 54701 - Phone
- (651) 274-6118
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-21
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 Wisconsin