Individual
THOMAS C PUCHNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5763 N HILL CT, FITCHBURG, WI 53711-5299
(608) 278-8303
Mailing address
5763 N HILL CT, FITCHBURG, WI 53711-5299
(608) 278-8303
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
27062
WI
2080P0201X
Pediatric Allergy/Immunology Physician
27062
WI
Other
Enumeration date
03/30/2006
Last updated
08/05/2021
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