Individual
JEANNE THOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4800 W GREEN BROOK DR, MILWAUKEE, WI 53223-2406
(414) 371-2980
Mailing address
11432 N JUSTIN DR, MEQUON, WI 53092-2784
(262) 518-0385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5050-23
WI
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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