Individual
THOMAS J SAPHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
(920) 884-3271
Mailing address
PO BOX 13453, GREEN BAY, WI 54307-3453
(920) 884-3135
(920) 884-3271
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
28471
WI
207RX0202X
Medical Oncology Physician
4301057902
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102766162
—
MI
05
—
31483800
—
WI
01
—
TS057902
BCBS MI
MI
Enumeration date
10/03/2006
Last updated
11/18/2021
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