Individual
MARK W THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2405 SCHOFIELD AVE, SUITE 110, WESTON, WI 54476-2300
(715) 241-8100
(715) 241-8102
Mailing address
2405 SCHOFIELD AVE, SUITE 110, WESTON, WI 54476-2300
(715) 241-8100
(715) 241-8102
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1001-25
WI
Other
Enumeration date
07/21/2009
Last updated
11/14/2012
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