Individual
THOMAS J WHETSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
610 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2109
(608) 326-6466
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1554
IA
363AM0700X
Medical Physician Assistant
Primary
673
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42997800
—
WI
Enumeration date
06/14/2005
Last updated
09/21/2015
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