Individual
DR. THOMAS CLARK GAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5020
(414) 805-5771
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5020
(414) 805-5771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
54582-20
WI
208600000X
Surgery Physician
54582-20
WI
2086X0206X
Surgical Oncology Physician
Primary
54582-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009493
—
WI
Enumeration date
02/09/2006
Last updated
12/31/2025
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