Individual
MR. THOMAS CARL JONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9036 S CAROLLTON DR., OAK CREEK, WI 53154
(414) 301-4260
Mailing address
9036 S CAROLLTON DR., OAK CREEK, WI 53154
(414) 301-4260
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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