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Individual

THOMAS GERALD THEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSA

Contact information

Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 201, MILWAUKEE, WI 53215
(414) 649-3569
(414) 649-3799
Mailing address
2901 W KINNICKINNIC RIVER PKWY, SUITE 201, MILWAUKEE, WI 53215
(414) 649-3569
(414) 649-3799

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
CERTIFICATION 3668

Other

Enumeration date
02/05/2013
Last updated
02/05/2013
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