Individual
GYPSY H THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3 KEWAUNEE CT, MADISON, WI 53705-4875
(608) 828-7603
Mailing address
3 KEWAUNEE CT, MADISON, WI 53705-4875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1801
WI
Other
Enumeration date
04/20/2006
Last updated
02/10/2021
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