Individual
THOMAS RAIMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11801 W JANESVILLE RD, HALES CORNERS, WI 53130-2327
(414) 425-1510
Mailing address
11801 W JANESVILLE RD, HALES CORNERS, WI 53130-2327
(414) 425-1510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2476
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33408800
—
WI
Enumeration date
07/22/2014
Last updated
07/22/2014
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