Individual
MR. THOMAS SCOTT STANWYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 GEORGE TOWNE DR, SUITE B, PEWAUKEE, WI 53072
(262) 746-9088
(262) 544-6820
Mailing address
1231 GEORGE TOWNE DR, SUITE B, PEWAUKEE, WI 53072
(262) 746-9088
(262) 544-6820
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34171
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31980400
—
WI
Enumeration date
11/18/2005
Last updated
12/07/2017
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