Individual
NADINE V.L. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-2400
(608) 363-7392
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-2400
(608) 363-7392
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-124110
IL
207RC0000X
Cardiovascular Disease Physician
Primary
49340-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477597110
—
WI
Enumeration date
06/15/2006
Last updated
10/20/2011
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