Promporn Suwanabol

PHYSICIAN ASSISTANT

1507 Doctors Ct

Watertown, WI 530944101

(920) 261-4111

**NPI:** 1710395058

**Med School:** OTHER

**Experience:** 11 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (3)

WATERTOWN PHYSICIAN PRACTICES LLC

1507 Doctors Ct
Watertown, WI 530944101

Phone: (920) 261-4111

**Group ID:** 8022329408 | **Group Size:** 45 members

WATERTOWN PHYSICIAN PRACTICES LLC

128 Hospital Dr
Watertown, WI 530983304

Phone: (920) 262-4825

**Group ID:** 8022329408 | **Group Size:** 45 members

WATERTOWN PHYSICIAN PRACTICES LLC

132 Hospital Dr
Watertown, WI 530983304

Phone: (920) 261-2020

**Group ID:** 8022329408 | **Group Size:** 45 members

WATERTOWN MEMORIAL HOSPITAL Type: Hospital
125 HOSPITAL DRIVE
Phone: (920) 261-4210
Medicare CCN: 520116 View Profile

Home health agency Type: Home health agency
Medicare CCN: 527151 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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