Promporn June Suwanabol
Promporn June Suwanabol is a Physician Assistant in Watertown, Wisconsin. Qualified in 2014, 12 years ago. Practices with Watertown Physician Practices LLC, a 63-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.
- Years since qualifying
- 12
- Licensed in
- WI
- In the registry since
- 2014
Practice location Address checks out
123 Hospital Dr Ste 2009Watertown, WI 53098-3331
Phone: (920) 262-9833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 3398-23 (WI) |
|---|
Record details
| NPI number | 1710395058 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 30, 2014 |
| Last updated in NPPES | December 16, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Watertown Physician Practices Llc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Watertown
-
Mrs. Peggy Burr, PAC
123 Hospital Dr Ste 2004, Watertown, WI 53098 · (920) 206-7772
-
Linnea M Nagel, PA
612 Mary Knoll Ln, Watertown, WI 53098-1216 · (920) 988-9548
-
Watertown Regional Medical Center, Inc
701 S Church St, Watertown, WI 53094-6213 · (920) 262-4784