Individual
DR. M THOMAS CHEMOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21631
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21631
STATE MD LICENSE
WI
Enumeration date
03/14/2006
Last updated
11/13/2009
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