Individual
DR. JEAN RUTH THUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904
(920) 303-8700
(920) 456-5831
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36090947
IL
208000000X
Pediatrics Physician
Primary
37755
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30069500
—
WI
Enumeration date
08/24/2006
Last updated
10/17/2023
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