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Individual

DR. THOMAS KEITH DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 THEDA CLARK MEDICAL PLZ STE 240, NEENAH, WI 54956-2790
(920) 725-2070
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22196
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30252000
WI
01
711290049
MEDICARE PTAN
WI
Enumeration date
12/27/2005
Last updated
11/23/2011
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