Individual
MR. THOMAS MICHAEL REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 N EAST AVE, WAUKESHA, WI 53186-3103
(847) 354-0130
Mailing address
3527 N 97TH PL, MILWAUKEE, WI 53222-2630
(847) 354-0130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2395-39
WI
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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