Individual
JENNIFER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4202 W. OAKWOOD PARK CT., STE 200, FRANKLIN, WI 53132-9565
(414) 423-5250
(414) 423-5256
Mailing address
100 15TH AVE, #180, SOUTH MILWAUKEE, WI 53172-1160
(414) 768-5430
(414) 762-4225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35632
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32207000
—
WI
Enumeration date
08/08/2006
Last updated
03/17/2023
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