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SOURASACK VONGSA, MD
MD
Family Medicine Physician
NPI: 1619945524IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
47253(WI)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
OTHER
Class of 2003
Contact & Hours
Via practice · 2 locations total
- Address
- 2500 E CAPITOL DR STE 1200
APPLETON, WI 54911 - Phone
- (920) 830-6877
Quick Facts
- NPI
- 1619945524
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 23
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