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Organization
THOMAS J KALINOSKY DO
Active
Organization
THOMAS J KALINOSKY DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J KALINOSKY DO (OWNER DO)
(920) 887-7692
Entity
Organization
Contact information
Practice address
215 CORPORATE DR, SUITE G, BEAVER DAM, WI 53916-3123
(920) 887-7692
(920) 887-7694
Mailing address
215 CORPORATE DR, SUITE G, BEAVER DAM, WI 53916-3123
(920) 887-7692
(920) 887-7694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30016200
—
WI
05
—
43959900
—
WI
Enumeration date
11/13/2006
Last updated
12/17/2013
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