Individual
DR. THOMAS D PAUSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1307 WI-69, NEW GLARUS, WI 53574
(608) 291-4005
Mailing address
1307 WI-69, NEW GLARUS, WI 53574
(608) 291-4005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001349-15
WI
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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