Individual
DR. THOMAS MOTISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15425 W NATIONAL AVE, NEW BERLIN, WI 53151-5156
(262) 789-6929
(262) 789-1432
Mailing address
15425 W NATIONAL AVE, NEW BERLIN, WI 53151-5156
(262) 789-6929
(262) 789-1432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1893
WI
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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