Individual
MR. DENNIS THOMAS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8809 W APPLETON AVE, MILWAUKEE, WI 53225-4232
(414) 405-6991
Mailing address
8809 W APPLETON AVE, MILWAUKEE, WI 53225-4232
(414) 405-6991
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T5201606240607
WI
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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