Individual
DR. THOMAS JOHN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21195 WATERTOWN RD, WAUKESHA, WI 53186-1898
(262) 784-3277
(262) 784-1957
Mailing address
21195 WATERTOWN RD, WAUKESHA, WI 53186-1898
(262) 784-3277
(262) 784-1957
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-1166362
FEDERAL TAX ID
—
Enumeration date
02/21/2007
Last updated
07/21/2010
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