Organization
EAU CLAIRE SPINE & ORTHOPEDICS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SUNIL THOMAS MD (OWNER)
(715) 858-0320
Entity
Organization
Contact information
Practice address
659 W HAMILTON AVE, EAU CLAIRE, WI 54701-6925
(715) 858-0320
(715) 858-0319
Mailing address
659 W HAMILTON AVE, EAU CLAIRE, WI 54701-6925
(715) 858-0320
(715) 858-0319
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
37931
WI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
37931
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21282000
—
WI
01
—
610080600
US DEPT OF LABOR
WI
Enumeration date
06/04/2006
Last updated
12/21/2010
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