Individual
TINA THOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W4986 STATE HIGHWAY 156, BONDUEL, WI 54107-8601
(920) 570-3795
Mailing address
W4986 STATE HIGHWAY 156, BONDUEL, WI 54107-8601
(920) 570-3795
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
04/14/2025
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