Individual
THOMAS J. SHEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53189-7624
(262) 928-7555
(262) 513-7575
Mailing address
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53189-7624
(262) 928-7555
(262) 513-7575
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
37781
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32237100
—
WI
Enumeration date
02/07/2006
Last updated
07/09/2014
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