Individual
MR. THOMAS JOHN COMMERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 MAIN ST, PEPIN, WI 54759
(612) 998-6006
Mailing address
415 MAIN ST, PEPIN, WI 54759
(612) 998-6006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1134085
MN
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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