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Individual

CARRIE ANN THOMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
(920) 436-1379
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 436-1379

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48054
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34643800
WI
Enumeration date
07/18/2006
Last updated
08/14/2008
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