Individual
DR. JOHN G THOMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-4874
(414) 337-7302
(414) 337-7337
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-4874
(414) 337-7302
(414) 337-7337
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27339
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000136Q
HUMANA
—
05
—
1093766776
—
WI
Enumeration date
05/15/2006
Last updated
11/09/2023
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