Individual
DR. THOMAS DAVID MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4848 S 76TH ST, SUITE 201, GREENFIELD, WI 53220-4361
(414) 325-7741
(414) 325-7735
Mailing address
4848 S 76TH ST, SUITE 201, GREENFIELD, WI 53220-4361
(414) 325-7741
(414) 325-7735
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
594057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39057300
—
WI
Enumeration date
08/30/2006
Last updated
07/09/2007
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