Organization
NEW BEHAVIORAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN W THOMAS M.D. (PRESIDENT)
(920) 996-1345
Entity
Organization
Contact information
Practice address
200 E WASHINGTON ST, APPLETON, WI 54911-5490
(920) 996-1345
(920) 739-0124
Mailing address
200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
(920) 996-1345
(920) 739-0124
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
WI
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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