Individual
DR. THOMAS M. CIECIEREGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 805-3666
Mailing address
10000 W INNOVATION DR, THIRD FLOOR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51693
WI
2080P0206X
Pediatric Gastroenterology Physician
Primary
262607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35208900
—
WI
Enumeration date
07/04/2008
Last updated
12/27/2023
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