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Individual

THOMAS F MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
580 N WASHINGTON ST, DEAN MEDICAL CENTER, JANESVILLE, WI 53548-2908
(608) 755-3500
(608) 755-3792
Mailing address
580 N WASHINGTON ST, DEAN MEDICAL CENTER, JANESVILLE, WI 53548-2908
(608) 755-3500
(608) 755-3792

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
43448-021
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43493000
WI
01
9029
DEAN HEALTH INSURANCE
WI
Enumeration date
04/24/2006
Last updated
05/07/2008
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