Individual
TOMASZ K MIASKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-5810
Mailing address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-5810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33827
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33827
LICENSE
WI
Enumeration date
12/06/2005
Last updated
11/23/2021
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