Individual
JEFFREY M TOMASINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
63886-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417272535
—
WI
Enumeration date
03/31/2010
Last updated
11/30/2021
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