Individual
DR. BEJE SAM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(262) 532-9584
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(262) 532-9584
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
82785
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742401900
—
MD
01
—
A313-0019
CAREFIRST BC/BS
MD
Enumeration date
01/18/2008
Last updated
09/28/2023
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