Individual
DR. DAVID A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
(262) 836-7301
Mailing address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
(262) 836-7301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47573-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154345403
—
WI
05
—
34636800
—
WI
01
—
P00456927
RAIL ROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
10/01/2019
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