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Search › Minnesota › 207RR0500X

Tawatchai Paisansinsup

NPI 1881671881 · on the registry since 2005 · sole proprietor

Practice

Address
3800 Park Nicollet Blvd
St Louis Park, MN 55416
Phone
(952) 993-2808
Organisation at this address
Group Health Inc
Park Nicollet Clinic
Park Nicollet Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
402

Registry record

Primary taxonomy
207RR0500X
207RR0500X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-09

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