Individual
THOMAS M MCGOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 REMMEL DR, JOHNSON CREEK, WI 53094-8511
(920) 674-6255
(920) 674-5288
Mailing address
147 W ROCKWELL ST, JEFFERSON, WI 53549-2048
(920) 674-6255
(920) 674-5288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38070-20
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
38070-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32416700
—
WI
Enumeration date
07/11/2006
Last updated
01/18/2021
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