Individual
DR. THOMAS JOHN SHEWCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4922 COLUMBIA ROAD, CEDARBURG, WI 53012
(262) 375-1580
(262) 375-9452
Mailing address
4922 COLUMBIA ROAD, CEDARBURG, WI 53012
(262) 375-1580
(262) 375-9452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19364
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31156200
—
WI
Enumeration date
10/13/2006
Last updated
07/08/2007
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