Individual
DR. THOMAS G CHULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E DIVISION ST, WAUTOMA, WI 54982-6944
(920) 787-6900
(920) 787-6903
Mailing address
900 E DIVISION ST, WAUTOMA, WI 54982-6944
(920) 787-6900
(920) 787-6903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41922
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32626700
—
WI
Enumeration date
09/07/2005
Last updated
10/20/2011
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