GRERK SUTAMTEWAGUL — Medicare Enrolled Provider (PRACTITIONER - HEMATOLOGY, IA)
GRERK SUTAMTEWAGUL — Medicare Enrolled Provider (PRACTITIONER - HEMATOLOGY, IA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: GRERK SUTAMTEWAGUL; Type: Individual; NPI: 1003103383.
| Name | GRERK SUTAMTEWAGUL |
|---|---|
| Type | Individual |
| NPI | 1003103383 |
| Provider type | PRACTITIONER - HEMATOLOGY |
| State | IA |
| Enrollment ID | I20170509001389 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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