Individual
OANH CONSTANCE THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801
Mailing address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301084852
MI
207Q00000X
Family Medicine Physician
Primary
52506
WI
Other
Enumeration date
11/14/2005
Last updated
10/30/2013
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