Individual
THOMAS R WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4435
Mailing address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-4435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
84023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42913100
—
WI
Enumeration date
09/14/2005
Last updated
06/17/2008
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