Individual
JULIE E THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 AMERICAN AVE STE 5, WAUKESHA, WI 53188-5031
(262) 928-2475
(262) 928-5697
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2484-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082582
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
—
Enumeration date
09/17/2009
Last updated
09/28/2021
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