Individual
DR. THOMAS EDWARD PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2715 DAMON ST, EAU CLAIRE, WI 54701-2634
(715) 834-8471
(715) 834-0373
Mailing address
2715 DAMON ST, EAU CLAIRE, WI 54701-2634
(715) 834-8471
(715) 834-0373
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21804-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30216400
—
WI
Enumeration date
08/10/2005
Last updated
01/22/2008
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