# THOMAS G. FENSKE M.D., S.C.

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

## Provider details

- **NPI number:** 1841465739
- **Authorized official:** DR. THOMAS G FENSKE M.D. (PRESIDENT)
- **Authorized official phone:** (414) 385-2499

## Contact information

- **Practice address:** 2801 W KINNICKINNIC RIVER PKWY, SUITE 925, MILWAUKEE, WI 53215-3669
- **Practice address phone:** (414) 385-2499
- **Practice address fax:** (414) 385-2748
- **Mailing address:** 2801 W KINNICKINNIC RIVER PKWY, SUITE 925, MILWAUKEE, WI 53215-3669
- **Mailing address phone:** (414) 385-2499
- **Mailing address fax:** (414) 385-2748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | 3459-033 | WI | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008