Individual
CHRIS TOR SASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 KENWOOD DR, THIENSVILLE, WI 53092-1738
(414) 807-0836
Mailing address
227 KENWOOD DR, THIENSVILLE, WI 53092-1738
(414) 807-0836
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
—
Enumeration date
10/05/2019
Last updated
10/05/2019
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