Individual
THOMAS REX FLYGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-3800
Mailing address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-3800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24678-020
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
24678-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669437158
—
WI
Enumeration date
04/19/2006
Last updated
11/12/2020
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