# THOMAS P PELLER MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215008875
- **Authorized official:** DR. THOMAS P PELLER M.D. (DIRECTOR PRESIDENT)
- **Authorized official phone:** (715) 830-9990

## Contact information

- **Practice address:** 714 W HAMILTON AVE, EAU CLAIRE, WI 54701-6937
- **Practice address phone:** (715) 830-9990
- **Practice address fax:** (715) 830-9995
- **Mailing address:** 714 W HAMILTON AVE, EAU CLAIRE, WI 54701-6937
- **Mailing address phone:** (715) 830-9990
- **Mailing address fax:** (715) 830-9995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 34997 | WI | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 03/10/2009