Individual
DR. THOMAS K. MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1280 SUMMIT AVE, OCONOMOWOC, WI 53066-4445
(262) 567-3214
(262) 567-2449
Mailing address
1280 SUMMIT AVE, OCONOMOWOC, WI 53066-4445
(262) 567-3214
(262) 567-2449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1507
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38564400
—
WI
Enumeration date
08/29/2005
Last updated
01/09/2012
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