Individual
THOMAS J KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Mailing address
SSM HEALTH FDL REGIONAL CLINIC, 1808 W BELTLINE HWY, MADISON, WI 53713-2334
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46007-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13581
DEAN
WI
05
—
34427100
—
WI
01
—
46007
TOUCHPOINT
WI
01
—
P00058699
RAILROAD MEDICARE
WI
01
—
WI01Q5
JOHN DEERE
WI
Enumeration date
11/14/2005
Last updated
10/06/2022
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