Individual
THOMAS MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
1125 OXFORD CT, NEENAH, WI 54956-3947
(608) 239-0176
Mailing address
1125 OXFORD CT, NEENAH, WI 54956-3947
(608) 239-0176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33-14186
WI
Other
Enumeration date
07/18/2023
Last updated
07/26/2023
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