Individual
DR. THOMAS C BETKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4010
(920) 288-4011
Mailing address
2845 GREENBRIER RD, PO BOX 8900, GREEN BAY, WI 54308-8900
(920) 288-4010
(920) 288-4011
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
41209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32569700
—
WI
Enumeration date
07/07/2006
Last updated
06/01/2009
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