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Individual

JOSEPH JAMES THIRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPAS

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 777-7700
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8147-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528887320
WI
Enumeration date
10/08/2024
Last updated
10/24/2024
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