Individual
BRUCE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 24TH ST SOUTH, WISC RAPIDS, WI 54494
(715) 424-8777
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4114
WI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4114
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33748100
—
WI
Enumeration date
09/22/2006
Last updated
09/11/2025
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