Individual
DR. JAMES MEREDITH THORNBERY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36 S BROOKS ST, MADISON, WI 53715-1304
(608) 267-6267
(608) 267-6343
Mailing address
PO BOX 44159, WPSC-SVA BILLING, MADISON, WI 53744-4159
(608) 826-2663
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24426-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32702900
AFFILIATED CLINIC PROVIDE
WI
Enumeration date
10/04/2005
Last updated
07/09/2007
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