Individual
DR. THOMAS ALLEN PUFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 104-5043
(920) 459-1408
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
(920) 104-5043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7716851
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174934
—
WI
Enumeration date
07/13/2019
Last updated
05/20/2025
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