Individual
THORSTEINN SKULASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2350 N LAKE DR STE 300, MILWAUKEE, WI 53211-4528
(414) 298-7100
(414) 298-7001
Mailing address
788 N JEFFERSON ST, SUITE 300/KAAREN BUTZEN, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 272-0859
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
46417
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275506081
—
WI
Enumeration date
02/10/2006
Last updated
01/11/2021
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