Individual
THOMAS P CANTIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC, WAUKESHA, WI 53189-7624
(262) 928-7555
Mailing address
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC, WAUKESHA, WI 53189-7624
(262) 928-7555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31582700
—
WI
Enumeration date
02/10/2006
Last updated
04/25/2012
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